Susan Pennington is a Clinical in Riverside, California. Susan Pennington practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Pennington is 1417077561. The last update date is 2022-09-14.
Susan Pennington's current location address is 5425 Sierra Vista Avenue, Riverside, California. You can contact this provider via phone number 9517153126 and fax number 9512997510. The mailing address for Susan Pennington is 5425 Sierra Vista Avenue, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Pennington |
|---|---|
| Address | 5425 Sierra Vista Avenue, Riverside, California |
| Phone Number | 9517153126 |
| Fax Number | 9512997510 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1417077561 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2022-09-14 |
Provider Mailing Address Detail
| Address | 5425 Sierra Vista Avenue |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 92505 |
| Phone Number | 9517153126 |
| Fax Number | 9512997510 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW#21317 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan Pennington by the Centers for Medicare & Medicaid Services?
The Susan Pennington has been issued the NPI (National Provider Identifier) 1417077561, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan Pennington's facilities are situated?
The facilities of Susan Pennington are physically located at the following address: 5425 Sierra Vista Avenue, Riverside, CA, 92505.
What is the area of specialization for Susan Pennington, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Pennington is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date was the 1417077561 assigned to Susan Pennington?
The Susan Pennington was issued its 1417077561 on 2007-03-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Susan Pennington most recently updated or revised?
The information pertaining to Susan Pennington, including its address, specialty, and other relevant details, was last updated or revised on 2022-09-14.
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