Physician Compare National (NPI:1962848119)

HEALTHCARE PROVIDER: SABRINA GASKILL LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1962848119
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547526204
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171113002491
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GASKILL
	Individual professional last name
Provider First Name	SABRINA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	706 S 1ST ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 111
	Group Practice or individual's line 2 address
City	TUCUMCARI
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	884012715
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y