Pennwalt Therapeutics, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PENNWALT THERAPEUTICS, PLLC

Practice address

140 Quail Drive
Dudley, NC 28333

Phone

(919) 583-5247

Fax

(800) 916-5488

NPI assigned

Feb 3, 2026

Last updated

Feb 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Scott Smith, LCSW, LCASNPI 1578883203

Title

Owner/ Psychotherapist

Phone

(919) 583-5247

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Scott Smith, LCAS, LCSW

  • Clinical Social Worker
  • Dudley, NC
  • NPI 1578883203
  NPD Authorized official

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1639029010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761",
            "city": "DUDLEY",
            "state": "NC",
            "postal_code": "283330761",
            "telephone_number": "919-583-5247",
            "fax_number": "800-916-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 QUAIL DRIVE",
            "city": "DUDLEY",
            "state": "NC",
            "postal_code": "28333",
            "telephone_number": "919-583-5247",
            "fax_number": "800-916-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNWALT THERAPEUTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/ PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "919-583-5247",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Grant
• Shawn Austin Ham
• House for Margaret Inc.
• House for Margaret Inc.
• George Edward Morgan III
• Quality Concept Inc.
• Quality Concept Inc. (Emmaus Enterprises)
• Jennifer Scott Smith, LCAS, LCSW
• Joanne Marie Stancil
• Rhonda Jean Sutton, SPEECH PATHOLOGIST

• Clinical Social Worker in Dudley, NC
• Providers in Dudley, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.