KIMBERLY ANN PENNOCK LCSW
NPI 1073659504
Social Worker - Clinical in Waterloo, IL

Active since January 30, 2007
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298(618) 939-4444(618) 939-4181 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Ann Pennock Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ANN PENNOCK LCSW (NPI 1073659504) is an individual clinical provider in Waterloo, Illinois and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1073659504
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY ANN PENNOCKCredential: LCSW
Location Address988 N ILLINOIS ROUTE 3Waterloo, IL 62298-1000
Mailing Address101 Lucys LndgWaterloo, IL 62298-5510 · (618) 939-2917
Fax(618) 939-4181
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1073659504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
988 N ILLINOIS ROUTE 3, Waterloo, IL 62298

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Counselor (Addiction (Substance Use Disorder))
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Case Manager/Care Coordinator
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Social Worker
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Pennock's NPI number?

The NPI number for Kimberly Pennock is 1073659504. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Kimberly Pennock located?

Kimberly Pennock practices at 988 N Illinois Route 3, Waterloo, IL 62298. The listed phone number is (618) 939-4444.

What is Kimberly Pennock's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kimberly Pennock was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.