Kendra Penski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27142 Issued in CA

Practice address

3737 Moraga Ave Ste A203
San Diego, CA 92117-5491

Phone

(619) 363-1920

Fax

(619) 363-4623

NPI assigned

Sep 4, 2007

Last updated

Apr 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kendra Penski Licensed Clinical Social Worker Inc

  dba Freedom Within Therapy and Wellness Center

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1548700891
  Authorized official Same address or phone

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1639363526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE A203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175491",
            "telephone_number": "619-363-1920",
            "fax_number": "619-363-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE A203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175491",
            "telephone_number": "619-363-1920",
            "fax_number": "619-363-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENSKI",
        "first_name": "KENDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin C Penoyer, M.S., L.AC.
• Jerrold C Penprase
• Robin Marie Penrice
• Harrison Michael Penrose, MD, PHD
• Carissa Lynn Pensack
• Jerrold Lee Penso, M.D.
• Michelle P Pent, MD
• Sarah Penteriani
• Emmanuel P. Pentheroudakis, M.D.
• Sarah Penton

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.