Seandra M Pennie, BA

Individual provider Active NPI Clinical Social Worker · Miami, FL

NPI 1568024073 · NPPES record last updated Jul 3, 2019

Key facts

NPI
1568024073
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
2262 NW 103Rd St
Miami, FL 33147-1747
Phone
(954) 558-4890
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

2262 NW 103Rd St
Miami, FL 33147-1747

Mailing address

2262 NW 103Rd St
Miami, FL 33147-1747
Phone (954) 558-4890

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address seandra.pennoie@dadefamily.com Health Information Exchange (HIE)

Other providers in Miami, FL

All providers in Miami, FL · Clinical Social Worker in Florida

Sources for this page

Verify at the official NPI Registry.