Active NPI
Nancy Foster Penn, LCSW
- Clinical Social Worker
- Tucker, GA
National Provider Identifier
1053479113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW002606
- Practice address
- 3912 Cedar Cir
Tucker, GA 30084-7339 - Phone
- (770) 414-9742
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW002606 | GA | Primary |
Addresses
Primary practice location
3912 Cedar Cir
Tucker, GA 30084-7339
Mailing address
4378 Sleepy Hollow CV
Lilburn, GA 30047-4196
Phone (770) 279-0785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4228 1St Ave
Suite 7
Tucker, GA 30084-4426
Phone (770) 908-1746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| View Point Health | Current | Accepting new patients | |
| Bruce R Penn Inc | Clinical | Current | Accepting new patients |
| J G Options, LLC | Past | Accepting new patients |
Locations
175 Gwinnett Dr
Lawrenceville, GA 30046
Phone (678) 209-2394
4228 1st Ave
Ste 7
Tucker, GA 30084
Phone (770) 908-1746
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Healing Transitions Counseling Center
- Clinical Social Worker
- Tucker, GA
- NPI 1023255684
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lawrenceville, GA
- NPI 1609853860
-
- Social Worker
- Tucker, GA
- NPI 1457362279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053479113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4378 SLEEPY HOLLOW CV",
"city": "LILBURN",
"state": "GA",
"postal_code": "300474196",
"telephone_number": "770-279-0785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3912 CEDAR CIR",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847339",
"telephone_number": "770-414-9742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENN",
"first_name": "NANCY",
"middle_name": "FOSTER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW002606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.