Individual provider · Type 1 NPI
Kimberly Avanngeline Pennybrook, LICSW
Clinical Social Worker · Poulsbo, WA
Practice location
18978 Front St NE # B
Poulsbo, WA 98370-7353
Mailing address
20283 1st Ave NE, A-5
Poulsbo, WA 98370-9047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LW60682845 (WA) |
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 1770021685
Kimberly Avanngeline Pennybrook, LICSW's National Provider Identifier is 1770021685, issued on Feb 10, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Poulsbo, WA. The record was last updated on Feb 5, 2024.