Timothy Paul Pennington in Poplar Bluff - Clinical
Timothy Paul Pennington - NPI 1245209329
Timothy Paul Pennington is a Clinical in Poplar Bluff, Missouri. Timothy Paul Pennington practices all healthcare services and medical treatments related to Clinical. The NPI Number for Timothy Paul Pennington is 1245209329. The last update date is 2015-03-13.
Timothy Paul Pennington's current location address is 1500 N Westwood Blvd, Poplar Bluff, Missouri. You can contact this provider via phone number 5736864151. The mailing address for Timothy Paul Pennington is 1500 N Westwood Blvd, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Timothy Paul Pennington |
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Address | 1500 N Westwood Blvd, Poplar Bluff, Missouri |
Phone Number | 5736864151 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1245209329 |
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Provider Enumeration Date | 2006-03-14 |
Last Updated Date | 2015-03-13 |
Provider Mailing Address Detail
Address | 1500 N Westwood Blvd |
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City | Poplar Bluff |
State | Missouri (MO) |
Post Code | 639013318 |
Phone Number | 5736864151 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 2004024505 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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11583081 | MO | CAQH PROVIDER ID | |
2042-C | AR | LCSW | |
2004024505 | MO | CLINICAL SOCIAL WORKER | |
490048709 | MO | -- |
Post Comment/ Review Below
What is the Timothy Paul Pennington's 1245209329?
The Timothy Paul Pennington's NPI (National Provider Identifier) Number is 1245209329. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Timothy Paul Pennington located?
The Timothy Paul Pennington is located at 1500 N Westwood Blvd, Poplar Bluff, MO 639013318.
What is Timothy Paul Pennington's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Timothy Paul Pennington is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Timothy Paul Pennington receive its 1245209329 assignment from the Centers for Medicare & Medicaid Services?
The Timothy Paul Pennington was assigned its 1245209329 by the Centers for Medicare & Medicaid Services on 2006-03-14.
When was the information related to Timothy Paul Pennington most recently updated or refreshed?
The details pertaining to the Timothy Paul Pennington, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-03-13.
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