JACQUELINE HEATHER PENCEK LISW
NPI 1174832307
Social Worker - Clinical in Columbus, OH

Active since October 05, 2010
399 E MAIN ST, COLUMBUS, OH 43215(614) 355-8550(614) 355-8593 Get Directions Write a Review

NPPES record last updated: April 28, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jacqueline Heather Pencek Lisw NPPES

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

JACQUELINE HEATHER PENCEK LISW (NPI 1174832307) is an individual clinical provider in Columbus, Ohio, licensed in Ohio (I 1000005) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1174832307
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE HEATHER PENCEKCredential: LISW
Location Address399 E MAIN STColumbus, OH 43215-5384
Mailing AddressPo Box 715194Columbus, OH 43271-5194 · (614) 355-8004 · Fax (614) 355-0509
Fax(614) 355-8593
Sole ProprietorNo
Enumeration DateOctober 5, 2010
Last NPPES UpdateApril 28, 2011
NPI 1174832307 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 OH · I 1000005
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.
399 E MAIN ST, Columbus, OH 43215

Other Identifiers 1

Medicaid08258OH

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.

Social Worker (Clinical)
399 E MAIN ST
COLUMBUS, OH 43215
Social Worker (Clinical)
399 E MAIN ST
COLUMBUS, OH 43215
Social Worker (Clinical)
399 E MAIN ST
COLUMBUS, OH 43215
Social Worker
399 E MAIN ST
COLUMBUS, OH 43215
Counselor (Professional)
399 E MAIN ST
COLUMBUS, OH 43215
Social Worker (Clinical)
399 E MAIN ST
COLUMBUS, OH 43215
Marriage & Family Therapist
399 E MAIN ST
COLUMBUS, OH 43215
Counselor (Professional)
399 E MAIN ST
COLUMBUS, OH 43215

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 Jacqueline Pencek's NPI number?

The NPI number for Jacqueline Pencek is 1174832307. It was assigned to this individual provider in the NPPES registry on October 5, 2010.

Where is Jacqueline Pencek located?

Jacqueline Pencek practices at 399 E Main St, Columbus, OH 43215. The listed phone number is (614) 355-8550.

What is Jacqueline Pencek'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 Jacqueline Pencek was last updated on April 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.