Physician Compare National (NPI:1992095525)

HEALTHCARE PROVIDER: DREAMEL SPADY 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	1992095525
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325226277
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110624000343
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SPADY
	Individual professional last name
Provider First Name	DREAMEL
	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	2005
	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	9409 HULL ST RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE D1
	Group Practice or individual's line 2 address
City	NORTH CHESTERFIELD
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	232361200
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y