Kristi M Pennington, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

541 State Route 664 N Ste C
Logan, OH 43138-8541

Phone

(740) 385-6594

Fax

(740) 385-0852

NPI assigned

Dec 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hopewell Health Centers Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, OH
  • NPI 1699010348
  Medicare reassignment NPD
• Hopewell Health Centers, Inc.

  • Community/Retail Pharmacy
  • The Plains, OH
  • NPI 1215777230
  NPD

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1275801128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456010188",
            "telephone_number": "740-773-4366",
            "fax_number": "740-773-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 STATE ROUTE 664 N STE C",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388541",
            "telephone_number": "740-385-6594",
            "fax_number": "740-385-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "KRISTI",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optometric Care Inc
• Lindsay Osborne
• Anna Lea Owings
• Alison Oxley, MA, CCC-SLP
• Sami Nichael Pastian, LPC
• Jacqueline M Phillips
• Genesis Pierce, QMHS
• Ashley Plummer
• Angela Poling, RPH TECH
• Jennetta Polly

• Clinical Social Worker in Logan, OH
• Providers in Logan, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.