CARSON PENNYPACKER - NPI 1437533080 - Social Worker in Gainesville, FL

Q: What is Carson Pennypacker's NPI number?

The NPI number for Carson Pennypacker is 1437533080. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Q: What is Carson Pennypacker's specialty?

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

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About Carson Pennypacker NPPES

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

CARSON PENNYPACKER (NPI 1437533080) is an individual clinical provider in Gainesville, Florida, licensed in Florida (SW17353) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1437533080

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCARSON PENNYPACKER

Location Address4300 SW 13TH STGainesville, FL 32608-4006

Mailing Address4300 Sw 13th StGainesville, FL 32608-4006 · (352) 374-5600

Phone(352) 374-5600

Fax(352) 244-2741

Sole ProprietorNo

Enumeration DateJuly 14, 2015

Last NPPES UpdateJuly 10, 20203 updates tracked since enumeration

NPPES CertifiedJuly 10, 2020

✔ NPI 1437533080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW17353

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.

Also ListedCounselorTaxonomy 101Y00000X

4300 SW 13TH ST, Gainesville, FL 32608

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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.

ROGER SMITH

Counselor