PENELOPE J LYNN LCSW
NPI 1568069193
Social Worker - Clinical in Santa Rosa, CA

Active since October 06, 2020
1815 BODIE ST, SANTA ROSA, CA 95403(707) 889-3318 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 22, 2021, May 6, 2021, Oct 6, 2020 (3 updates tracked since 2020).

About Penelope J Lynn Lcsw NPPES

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

PENELOPE J LYNN LCSW (NPI 1568069193) is an individual clinical provider in Santa Rosa, California, licensed in California (91755) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1568069193
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePENELOPE J LYNNCredential: LCSW
Location Address1815 BODIE STSanta Rosa, CA 95403-2497
Mailing AddressPo Box 11082Santa Rosa, CA 95406-1082 · (707) 889-3318
Sole ProprietorYes
Enumeration DateOctober 6, 2020
Last NPPES UpdateOctober 22, 20213 updates tracked since enumeration
NPPES CertifiedOctober 22, 2021
NPI 1568069193 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 · 91755
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.

1815 BODIE ST, Santa Rosa, CA 95403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568069193, enumerated as an "individual" on October 06, 2020.

The provider is located at 1815 BODIE ST SANTA ROSA, CA 95403 and the phone number is (707) 889-3318.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.