Heather a Penrose LCSW Psychotherapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEATHER A PENROSE LCSW PSYCHOTHERAPY PLLC

Practice address

119 Averill Ave
Rochester, NY 14620-1317

Phone

(585) 330-9416

NPI assigned

Sep 29, 2021

Organization subpart

No

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

Authorized official

Name

Heather Penrose, LCSW-RNPI 1831338003

Title

Psychotherapist

Phone

(585) 576-9415

Specialties & licenses 1

Addresses

Other names 1

• Heather A Penrose LCSW-R Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Anne Penrose, LCSW

  • Clinical Social Worker
  • Rochester, NY
  • NPI 1831338003
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1982376877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AVERILL AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201317",
            "telephone_number": "585-330-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 AVERILL AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201317",
            "telephone_number": "585-330-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER A PENROSE LCSW PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "PENROSE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "585-576-9415",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heather A Penrose LCSW-R",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Heather A Penrose LCSW-R",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hearts' of Stars
• Kaitlin A Heaster, RN
• Christina Heath
• Katlyn Marie Heath, PNP
• Shannel Heath
• Heather Muxworthy DNP(S), Pmhnp-BC, LLC
• Chad R Heatwole, MD
• Heaven Sent Peer Support LLC
• Jennifer Marie Heaven, FNP
• Heavenly Helpers

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.