Barbara Penn, LCSW, CCDP-D

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW018269 Issued in PA

Practice address

196 Hamill School Rd
Bolivar, PA 15923-2525

Phone

(724) 238-8441

Fax

(724) 238-3748

NPI assigned

May 7, 2015

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

Medicare fee-for-service enrollment

Enrolled in PA

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Barbara Penn

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Huntingdon, PA
  • NPI 1619747730
  NPD Authorized official
• Diana Lynn Gummo CRNP LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mt. Pleasant, PA
  • NPI 1740610583
  NPD (past)
• Greg Miscik & Counseling Associates

  • Counselor
  • Latrobe, PA
  • NPI 1750588984
  NPD (past)
• The Counseling and Wellness Center, LLC

  • Professional Counselor
  • Latrobe, PA
  • NPI 1831562438
  NPD (past)

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1457739674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 HAMILL SCHOOL RD",
            "city": "BOLIVAR",
            "state": "PA",
            "postal_code": "159232525",
            "telephone_number": "724-238-8441",
            "fax_number": "724-238-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 HAMILL SCHOOL RD",
            "city": "BOLIVAR",
            "state": "PA",
            "postal_code": "159232525",
            "telephone_number": "724-238-8441",
            "fax_number": "724-238-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "BARBARA",
        "credential": "LCSW, CCDP-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Care Network
• Justin T. McDonald, LPC, CAADC
• Outside in School of Experiential Education
• Outside in School of Experiential Education, Inc.
• Outside in School of Experiential Education, Inc.
• Stacey A Robertson, DO

• Clinical Social Worker in Bolivar, PA
• Providers in Bolivar, PA by specialty
• Clinical Social Worker in Pennsylvania

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