Carolyn Marie Penco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021769 Issued in PA

Practice address

6000 Steubenville Pike Ste 106
MC Kees Rocks, PA 15136-1353

Phone

(412) 329-7778

NPI assigned

Jul 5, 2021

Last updated

Feb 21, 2023By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

Practice roles

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.

• Associates in Behavioral Diagnostics and Treatment, LLC

  • Professional Counselor
  • Coraopolis, PA
  • NPI 1568731867

  Clinical

  NPD (past)
• Associates in Behavioral Diagnostics and Treatment, LLC

  • Psychologist
  • Moon TWP, PA
  • NPI 1659649911
  NPD (past)

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1942871637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GLOWOOD DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152271216",
            "telephone_number": "304-280-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 STEUBENVILLE PIKE STE 106",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361353",
            "telephone_number": "412-329-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCO",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Tyler Paroda, DPT
• Janette S Partezana, MD
• Pathology and Nuclear Medicine of Pittsburgh
• Patricia J. Pecori, MSN, CRNP
• Amanda Pegher, LPC
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy # 00258)
• Jordan Pestok, PHARMD
• Thomas William Petrisko, DC
• Mary Katherine Pfeffer, MPT, ATC
• Physical Therapy & Health Center, Inc. (Robinson Physical Therapy & Health Center, Inc.)

• Clinical Social Worker in McKees Rocks, PA
• Providers in McKees Rocks, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.