Matthew Penner, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4227 Issued in KS

Practice address

101 E 1St Ave
Hutchinson, KS 67501-7147

Phone

(620) 200-4800

NPI assigned

Sep 4, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Penner Counseling Services, LLC

  • Clinical Social Worker
  • Hutchinson, KS
  • NPI 1922403476
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1740413962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675040772",
            "telephone_number": "620-200-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 1ST AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675017147",
            "telephone_number": "620-200-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNER",
        "first_name": "MATTHEW",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-04",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000981201",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Lee Pease, MD
• Pediatric Dentistry, LLC
• Penner Counseling Services, LLC
• Corey Penner, R.PH
• Lyndal Penner, LCP, LCMFT
• Morgan J Penner, MSW
• Raymond Penner, LSCSW
• Shakara Nate Pete, PMHMP
• Patricia Lee Peters, LSCSW
• Aubrey Peterson, PA-C

• Clinical Social Worker in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.