Active NPI
Dyan L Pennington, LICSW
- Clinical Social Worker
- Ware, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0300010 | Other | MA | MBHP |
| 1300881 | Medicaid | MA |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Network Inc | Current | Accepting new patients | |
| Weise Counseling Collaborative Inc | Clinical | Current | Accepting new patients |
| Behavioral Health Network, Inc | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, MA
- NPI 1477582609
-
- Methadone Clinic
- Springfield, MA
- NPI 1669017653
-
- Clinical Social Worker
- Belchertown, MA
- NPI 1366794505
-
- Public Health or Welfare Agency
- Westfield, MA
- NPI 1215975842
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.