Active NPI
Penny Joan Foreman, MSW
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1447316419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC16279
- Practice address
- 5190 Governor Dr
Suite 104
San Diego, CA 92122-2847 - Phone
- (858) 657-0007
- Fax
- (734) 448-0423
- NPI assigned
- Dec 28, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS10103 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC16279 | CA | Primary |
Addresses
Primary practice location
5190 Governor Dr
Suite 104
San Diego, CA 92122-2847
Mailing address
5190 Governor Dr
Suite 104
San Diego, CA 92122-2847
Phone (858) 657-0007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090116000239 | CA | Practitioner - Clinical Social Worker | 0143383174 | Practice locations: San Diego, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5230 Carroll Canyon Rd
Suite 200
San Diego, CA 92121-1780
Phone (858) 657-0007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS10103 | CA | MD | Clinical Social Worker |
| MFC16279 | CA | MD | Marriage & Family Therapist |
| 10103 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1447316419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5190 GOVERNOR DR",
"address_2": "SUITE 104",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921222847",
"telephone_number": "858-657-0007",
"fax_number": "734-448-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 GOVERNOR DR",
"address_2": "SUITE 104",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921222847",
"telephone_number": "858-657-0007",
"fax_number": "734-448-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "PENNY",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS10103",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC16279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.