Caroline Penberthy in Kirkwood - Clinical
Caroline Penberthy - NPI 1639160062
Caroline Penberthy is a Clinical in Kirkwood, Missouri. Caroline Penberthy practices all healthcare services and medical treatments related to Clinical. The NPI Number for Caroline Penberthy is 1639160062. The last update date is 2007-07-09.
Caroline Penberthy's current location address is 12166 Old Big Bend Rd, Kirkwood, Missouri. You can contact this provider via phone number 3149090211 and fax number 3149090323. The mailing address for Caroline Penberthy is 12166 Old Big Bend Rd, Kirkwood, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Caroline Penberthy |
|---|---|
| Address | 12166 Old Big Bend Rd, Kirkwood, Missouri |
| Phone Number | 3149090211 |
| Fax Number | 3149090323 |
| Sole Proprietor | N |
| Credentials | M.S.W., L. |
NPI Number Detail
| NPI Number | 1639160062 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 12166 Old Big Bend Rd |
|---|---|
| City | Kirkwood |
| State | Missouri (MO) |
| Post Code | 631226844 |
| Phone Number | 3149090211 |
| Fax Number | 3149090323 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW000802 |
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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 |
|---|---|---|---|
| 472758 | MO | HEALTHLINK | |
| R01055 | MO | MERCY HEALTH PLANS | |
| 6236004 | MO | UNITED BEHAVIORAL HEALTH | |
| 125668 | MO | BLUE CROSS BLUE SHIELD | |
| O62230 | MO | EXCLUSIVE CHOICE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Caroline Penberthy by the Centers for Medicare & Medicaid Services?
The Caroline Penberthy has been assigned the NPI (National Provider Identifier) 1639160062 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Caroline Penberthy located?
The Caroline Penberthy is located at 12166 Old Big Bend Rd, Kirkwood, MO 631226844.
What is the Caroline Penberthy's specialty and taxonomy code?
The Caroline Penberthy's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639160062 to Caroline Penberthy?
The Caroline Penberthy received its 1639160062 assignment from the Centers for Medicare & Medicaid Services on 2005-11-03.
As of what date were the details related to Caroline Penberthy most recently updated or revised?
The information pertaining to Caroline Penberthy, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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