Physician Compare National (NPI:1972649853)

HEALTHCARE PROVIDER: PAULA ANNE OLIVEIRA LICSW

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

Individual Professional Information
NPI	1972649853
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658569579
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101220000510
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OLIVEIRA
	Individual professional last name
Provider First Name	PAULA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
	Individual professional's medical school
Graduation Year	1995
	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	80 RTE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 125
	Group Practice or individual's line 2 address
City	KINGSTON
	Group Practice or individual's city
State	NH
	Group Practice or individual's state
Zip Code	038483535
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6036426700
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y