MS. JUDITH ANN PENNIMAN LCSW
NPI 1205074762
Social Worker - Clinical in San Diego, CA

Active since January 21, 2009
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6200 Get Directions Write a Review

NPPES record last updated: January 21, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Judith Ann Penniman Lcsw NPPES

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

MS. JUDITH ANN PENNIMAN LCSW (NPI 1205074762) is an individual clinical provider in San Diego, California, licensed in California (LCS 6575) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1205074762
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JUDITH ANN PENNIMANCredential: LCSW
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098 · (619) 532-6200
Sole ProprietorYes
Enumeration DateJanuary 21, 2009
NPI 1205074762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in CA · LCS 6575 Licensed in AZ · LCSW 2824
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.
34800 BOB WILSON DR, San Diego, CA 92134

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.

Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134

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 Judith Penniman's NPI number?

The NPI number for Judith Penniman is 1205074762. It was assigned to this individual provider in the NPPES registry on January 21, 2009.

Where is Judith Penniman located?

Judith Penniman practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-6200.

What is Judith Penniman'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 Judith Penniman was last updated on January 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.