Cynthia Penwell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

54358 Issued in TX

Practice address

7509 Manchaca Rd
109
Austin, TX 78745-6025

Phone

(512) 922-5865

Fax

(512) 292-1144

NPI assigned

Oct 7, 2015

Last updated

Oct 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• 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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Forward Counseling

  • Community/Behavioral Health Agency
  • Austin, TX
  • NPI 1780062505
  NPD (past) Authorized official

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1336519057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 MANCHACA RD",
            "address_2": "109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456025",
            "telephone_number": "512-292-1122",
            "fax_number": "512-292-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 MANCHACA RD",
            "address_2": "109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787456025",
            "telephone_number": "512-922-5865",
            "fax_number": "512-292-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENWELL",
        "first_name": "CYNTHIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHEILD",
            "identifier": "00838B",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Penry, NREMT
• Rafaella Cleto Penteado, MD
• Michael David Penticuff, PH.D.
• Vishnu Sravya Penubarthi
• Valeria Penunuri
• People's Community Clinic, Inc.
• People's Community Clinic, Inc. (People's Community Clinic)
• People's Community Clinic, Inc. (People's Community Clinic Off-Site Clinic at Austin Children's Shelter)
• People's Community Clinic, Inc. (People's Community Pharmacy)
• People's Wellness Center

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.