Elizabeth Chase Pennell
Individual provider Active NPI Social Worker · Simpsonville, SC
NPI 1164071502 · NPPES record last updated Sep 9, 2019
Key facts
- NPI
- 1164071502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6096 (SC)
- Practice address
- 20 Powderhorn Rd
Simpsonville, SC 29681-3399 - Phone
- (864) 963-3421
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6096 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Current |
Accepting new patients | |
| South Carolina Dept of Mental Health Accounting Office | Past |
Accepting new patients |
Locations
20 Powderhorn Rd
Simpsonville, SC 29681
Phone (864) 297-5044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6096 | SC | Yes |
Addresses
Primary practice location
20 Powderhorn Rd
Simpsonville, SC 29681-3399
Mailing address
20 Powderhorn Rd
Simpsonville, SC 29681-3399
Phone (864) 963-3421
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- Ann S Perkins
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- Megan Peters
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All providers in Simpsonville, SC · Social Worker in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.