Individual provider · Type 1 NPI

Timothy Paul Pennington, LCSW

Clinical Social Worker · Poplar Bluff, MO

NPI number 1245209329 Active

Practice location

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318

Call (573) 686-4151 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2004024505 (MO)
Clinical Social Worker 1041C0700X2042-C (AR)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1245209329

Timothy Paul Pennington, LCSW's National Provider Identifier is 1245209329, issued on Mar 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Poplar Bluff, MO. The record was last updated on Mar 13, 2015.