TIMOTHY PAUL PENNINGTON LCSW
NPI 1245209329
Social Worker - Clinical in Poplar Bluff, MO

Active since March 14, 2006
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 686-4151 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Paul Pennington Lcsw NPPES

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

TIMOTHY PAUL PENNINGTON LCSW (NPI 1245209329) is an individual clinical provider in Poplar Bluff, Missouri, licensed in Missouri (2004024505) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1245209329
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTIMOTHY PAUL PENNINGTONCredential: LCSW
Location Address1500 N WESTWOOD BLVDPoplar Bluff, MO 63901-3318
Mailing Address1500 N Westwood BlvdPoplar Bluff, MO 63901-3318 · (573) 686-4151
Sole ProprietorYes
Enumeration DateMarch 14, 2006
Last NPPES UpdateMarch 13, 2015
NPI 1245209329 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 MO · 2004024505 Licensed in AR · 2042-C
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.
1500 N WESTWOOD BLVD, Poplar Bluff, MO 63901

Other Identifiers 4

Other2004024505MO · Clinical Social Worker
Other11583081MO · Caqh Provider Id
Other2042-CAR · Lcsw
Medicaid490048709MO

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.

Optometrist
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Psychiatry & Neurology (Psychiatry)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Psychiatry & Neurology (Psychiatry)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Registered Nurse
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Nurse Practitioner
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Respiratory Therapist, Registered
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Respiratory Therapist, Registered
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Social Worker (Clinical)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901

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 Timothy Pennington's NPI number?

The NPI number for Timothy Pennington is 1245209329. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Timothy Pennington located?

Timothy Pennington practices at 1500 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 686-4151.

What is Timothy Pennington'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 Timothy Pennington was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.