Individual provider Active NPI

Penny D. Winkle, LISW, LPCC

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1922119775
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 3042 Issued in OH
Practice address
3620 N High St
Ste. 303
Columbus, OH 43214-3611
Phone
(614) 378-1460
Fax
(614) 263-3077
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E 913 OH
Clinical Social Worker 1041C0700X I 3042 OH Primary

Addresses

Primary practice location

3620 N High St
Ste. 303
Columbus, OH 43214-3611

Mailing address

3620 N High St
Ste. 303
Columbus, OH 43214-3611
Phone (614) 378-1460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170228002245 OH Practitioner - Clinical Social Worker 7214211788 Practice locations: Columbus, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3620 N High St
Suite 303
Columbus, OH 43214-3643
Phone (614) 262-5677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E 913OHMDMental Health Counselor
I 3042OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1922119775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N HIGH ST",
            "address_2": "STE. 303",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143611",
            "telephone_number": "614-378-1460",
            "fax_number": "614-263-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N HIGH ST",
            "address_2": "STE. 303",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143611",
            "telephone_number": "614-378-1460",
            "fax_number": "614-263-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKLE",
        "first_name": "PENNY",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LISW, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E 913",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 3042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.