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KASHAWNDRA PENN
NPI 1104775956
Social Worker - Clinical in Compton, CA

Active since January 26, 2026PECOS Enrolled

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kashawndra Penn NPPES

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

KASHAWNDRA PENN (NPI 1104775956) is an individual clinical provider in Compton, California, licensed in California (128555) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104775956
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKASHAWNDRA PENN
Location AddressPO BOX 56Compton, CA 90223-0056
Mailing AddressPo Box 56Compton, CA 90223-0056 · (323) 364-5798
Phone(323) 364-5798
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 26, 2026
NPPES CertifiedJanuary 25, 2026
✔ NPI 1104775956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 128555
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.
PO BOX 56, Compton, CA 90223
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kashawndra Penn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385126606
PECOS Enrollment IDI20260305002840
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kashawndra Penn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
315 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kashawndra Penn's NPI number?

The NPI number for Kashawndra Penn is 1104775956. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Where is Kashawndra Penn located?

Kashawndra Penn practices at PO Box 56, Compton, CA 90223. The listed phone number is (323) 364-5798.

What is Kashawndra Penn's specialty?

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

Is Kashawndra Penn enrolled in Medicare?

Yes. Kashawndra Penn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kashawndra Penn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kashawndra Penn reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kashawndra Penn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kashawndra Penn was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.