Irvin Roy Penner is a Clinical in Wichita, Kansas. Irvin Roy Penner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Irvin Roy Penner is 1568559391. The last update date is 2007-07-08.
Irvin Roy Penner's current location address is 11521 Wilshire Terrace, Wichita, Kansas. You can contact this provider via phone number 3166813840 and fax number 3166845136. The mailing address for Irvin Roy Penner is 11521 Wilshire Terrace, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Irvin Roy Penner |
|---|---|
| Address | 11521 Wilshire Terrace, Wichita, Kansas |
| Phone Number | 3166813840 |
| Fax Number | 3166845136 |
| Sole Proprietor | N |
| Credentials | LSCSW MSW |
NPI Number Detail
| NPI Number | 1568559391 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11521 Wilshire Terrace |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672074337 |
| Phone Number | 3166813840 |
| Fax Number | 3166845136 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 159 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7500074901 | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Irvin Roy Penner by the Centers for Medicare & Medicaid Services?
The Irvin Roy Penner has been issued the NPI (National Provider Identifier) 1568559391 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Irvin Roy Penner is located?
The Irvin Roy Penner is situated at the following address: 11521 Wilshire Terrace, Wichita, KS, 672074337.
What is Irvin Roy Penner's area of expertise and its corresponding taxonomy classification?
The Irvin Roy Penner's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did Irvin Roy Penner receive its 1568559391 assignment?
The Irvin Roy Penner was assigned its 1568559391 on 2006-10-05, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Irvin Roy Penner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Irvin Roy Penner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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