Individual provider · Type 1 NPI

Tybria Penny

Clinical Social Worker · Charlotte, NC

NPI number 1730922758 Active

Practice location

3625 Full Moon Avenue, Unit 2435
Charlotte, NC 28262

Call (910) 431-6063 Map

Mailing address

3625 Full Moon Ave Apt 2435
Charlotte, NC 28262-6928

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1730922758

Tybria Penny's National Provider Identifier is 1730922758, issued on Jun 17, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Aug 8, 2025.