Individual provider Active NPI

Dyan L Pennington, LICSW

  • Clinical Social Worker
  • Ware, MA
National Provider Identifier
1194951780
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
96 South St
Ware, MA 01082-1616
Phone
(413) 967-6241
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

96 South St
Ware, MA 01082-1616

Mailing address

228 Bridge Street, P.O. Box 565
Warren, MA 01083
Phone (413) 813-2372

Other practice location 1

1388 Main St
Suite # 2E
Palmer, MA 01069
Phone (413) 813-2372

Other identifiers 2

IdentifierTypeStateIssuer
0300010OtherMAMBHP
1300881MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805007389 MA Practitioner - Clinical Social Worker 3072827906 Reassigns benefits to 1 organization
Practice locations: Palmer, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Connecticut School of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Behavioral Health Network IncGroup PAC ID 3072596360, 146 clinicians

Practice addresses (Care Compare)

1 Old Thompson St
Palmer, MA 01069-2107

1388 Main St
Suite 2E
Palmer, MA 01069-1209
Phone (413) 813-2372

228 Bridge St
Warren, MA 01083-7913

235 Maple St
Holyoke, MA 01040-5117
Phone (413) 532-0389

40 Bobala Rd
Holyoke, MA 01040-9632
Phone (413) 536-5473

417 Liberty St
Springfield, MA 01104-3736
Phone (413) 736-3668

96 S St
Ware, MA 01082-1616
Phone (413) 967-6241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Network Inc CurrentSince Jul 1, 2015 Accepting new patients
Weise Counseling Collaborative Inc Clinical CurrentSince Jun 19, 2026 Accepting new patients
Behavioral Health Network, Inc CurrentSince Jul 1, 2015 Accepting new patients
The Carson Center Past Accepting new patients

Locations

40 Bobala Rd
Holyoke, MA 01040
Phone (413) 536-5473

4 Springfield St
Ste 524
Three Rivers, MA 01080
Phone (413) 687-9685

96 South St
Ware, MA 01082
Phone (413) 867-6241

77 Mill St
Ste 251
Westfield, MA 01085
Phone (413) 568-1421

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1194951780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 BRIDGE STREET, P.O. BOX 565",
            "city": "WARREN",
            "state": "MA",
            "postal_code": "01083",
            "telephone_number": "413-813-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 SOUTH ST",
            "city": "WARE",
            "state": "MA",
            "postal_code": "010821616",
            "telephone_number": "413-967-6241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1388 Main St",
            "address_2": "Suite # 2E",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "MA",
            "postal_code": "01069",
            "country_code": "US",
            "telephone_number": "413-813-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "DYAN",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "0300010",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300881",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ware, MA

Sources for this page

Verify at the official NPI Registry.