Jeana F Penree, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

081902 Issued in NY

Practice address

2316 Genesee St
Utica, NY 13502-5810

Phone

(315) 525-0684

NPI assigned

Apr 28, 2010

Last updated

Jan 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jeana F Cacozza Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 10, 2025 through Jun 10, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1205153301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OXFORD RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132663",
            "telephone_number": "315-525-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025810",
            "telephone_number": "315-525-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENREE",
        "first_name": "JEANA",
        "middle_name": "F",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANA",
            "last_name": "CACOZZA",
            "middle_name": "F",
            "credential": "LCSW-R",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marshall E Pedersen, M.D.
• Kathryn Marie Pedone, CF-SLP, M.S., TSSLD
• Andrew T Pellecchia, MD
• Barbara A Pellegrino, MSED
• Michael Pelton, LDO
• Kathleen Ann Peplinski, OTR/L
• Meriam Bulay Pepperine
• Margarita Perez-Cheron, MD
• Arturo Perez Jr., DMD
• Carla E Perez, MSW

• Clinical Social Worker in Utica, NY
• Providers in Utica, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.