Penny J Engstrom, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2015040580 Issued in MO

Practice address

2813 NE Kendallwood Pkwy Apt 3
Gladstone, MO 64119-2030

Phone

(816) 507-0048

NPI assigned

Aug 2, 2021

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

Enrolled in MO

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

N Haney and Associates LLCGroup PAC ID 1557493699, 2 clinicians

Practice addresses (Care Compare)

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.

• N Haney & Associates LLC

  • Professional Counselor
  • Liberty, MO
  • NPI 1669585543

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1972276293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 NE KENDALLWOOD PKWY APT 3",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192030",
            "telephone_number": "816-507-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 NE KENDALLWOOD PKWY APT 3",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192030",
            "telephone_number": "816-507-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGSTROM",
        "first_name": "PENNY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015040580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Nneka Eke, PMHNP-BC
• Elevated Bloom Counseling LLC
• Elite Medical Equipment and Supplies, L.L.C.
• Crystal Elliott
• Empowered Counseling LLC
• Kathryn Etter
• Taina Melissa Eveillard
• Samuel O Fadare Jr., MD
• Colleen Fagan, PH.D.
• Kendra Fagan, RN

• Clinical Social Worker in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.