Kevin R Penberthy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R39032-1 Issued in NY

Practice address

7 Community Dr
Buffalo, NY 14225-2523

Phone

(716) 505-5630

Fax

(716) 892-1936

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Other, 1988

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspire of Western New York Inc.

  • Developmental Disabilities Clinic/Center
  • Cheektowaga, NY
  • NPI 1346337011
  Medicare reassignment NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427144880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 CURTIS PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231833",
            "telephone_number": "716-835-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COMMUNITY DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142252523",
            "telephone_number": "716-505-5630",
            "fax_number": "716-892-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENBERTHY",
        "first_name": "KEVIN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R39032-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase D Pellow
• Nicole A Pena-Rodriguez
• Alexis Marie Pena, LMHC
• Emily Penale, RDN, CDN
• Brittany Ann Elizabeth Penaloza, M.S.ED.
• Jennifer Penkaty, R.N.
• Leah Nacole Pennario, REGISTERED NURSE
• Janice Mortimer Pennington, NP
• Marina Pennock
• Daniel Penque

• Clinical Social Worker in Buffalo, NY
• Providers in Buffalo, 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 Jul 8, 2007; 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.