| Timothy Paul Pennington, LCSW | |
|
1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | |
| (573) 686-4151 | |
| Not Available |
| Full Name | Timothy Paul Pennington |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1500 N Westwood Blvd, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245209329 | NPI | - | NPPES |
| 11583081 | Other | MO | CAQH PROVIDER ID |
| 2042-C | Other | AR | LCSW |
| 2004024505 | Other | MO | CLINICAL SOCIAL WORKER |
| 490048709 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2004024505 (Missouri) | Primary |
| 1041C0700X | Social Worker - Clinical | 2042-C (Arkansas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Paul Pennington, LCSW 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 Ph: (573) 686-4151 | Timothy Paul Pennington, LCSW 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 Ph: (573) 686-4151 |
Julie Ross, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 | |
Charissa Young, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 | |
Janet Sue Mclane-li, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-772-7722 Fax: 573-778-7282 | |
Jodi Lynn Jo Walker, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3001 Warrior Ln, Poplar Bluff, MO 63901 Phone: 573-686-1200 | |
Cynthia J Elliott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Greenwood Dr Ste D, Poplar Bluff, MO 63901 Phone: 573-785-5224 | |
Melinda Gay Taylor, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-772-7722 Fax: 573-778-7282 | |
Mrs. Karen Elizabeth Campa, LCSW/MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 847 Vine St, Poplar Bluff, MO 63901 Phone: 573-778-9424 Fax: 573-778-9447 |