Asya Penzo-Shumard

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11756 Issued in SC

Practice address

200 N Vineyard Blvd Ste A325
Honolulu, HI 96817-3938

Phone

(773) 888-3312

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Clinical Social Worker

Education

University of South Carolina School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspring Psychology Group LLCGroup PAC ID 9537382692, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wellspring Psychology Group LLC

  • Clinical Psychologist
  • Florence, SC
  • NPI 1255756565
  Medicare reassignment Care Compare group NPD
• Sex Therapy Hawaii, LLC

  • Psychologist
  • Honolulu, HI
  • NPI 1124593504
  NPD (past)

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1376994335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235292",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968233504",
            "telephone_number": "773-888-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N VINEYARD BLVD STE A325",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173938",
            "telephone_number": "773-888-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENZO-SHUMARD",
        "first_name": "ASYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "11756",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "5476",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LW1048",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bhakti Penaroza
• Calvin W Peng, PHARM.D.
• Angela Penn, M.D.
• Heather Frances Penney, MD
• James H. Penoff, M.D.
• Jaclyn Mari Pepin
• Benny Perales
• Brittany N Peralta-Otsuka, MAT
• Delbert V. Peralta, PT
• Percival Chee, M.D., F.a.C.S., Incorporated

• Clinical Social Worker in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Social Worker in Hawaii

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

Verify at the official NPI Registry.