Ashley Pennewill, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11608 Issued in FL

Practice address

605 E Government St
Ste C
Pensacola, FL 32502-8104

Phone

(850) 501-5110

Fax

(850) 254-1973

NPI assigned

Oct 25, 2013

Last updated

May 3, 2017By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• A Clean Mind LLC

  • Clinical Social Worker
  • Pensacola, FL
  • NPI 1679000350
  Authorized official Same address or phone

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1720416969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 E WRIGHT ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325014354",
            "telephone_number": "850-501-5110",
            "fax_number": "850-254-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E GOVERNMENT ST",
            "address_2": "STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325028104",
            "telephone_number": "850-501-5110",
            "fax_number": "850-254-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNEWILL",
        "first_name": "ASHLEY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-25",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Pendergrass-Murphy, MS
• Kellye Lynne Pendergrass, ARNP
• Melanie Methvin Pendergrass, ARNP
• Ashlay Pendleton
• Margaret Pennewell
• James Henry Pennington, M.D.
• Pensacola Bay Baptist Associaiton
• Pensacola Birth & Maternity Center
• Pensacola Birth & Maternity Center (Pensacola Maternity Services)
• Pensacola Bone & Joint Clinic PA

• Clinical Social Worker in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.