TYBRIA PENNY
NPI 1730922758
Social Worker - Clinical in Charlotte, NC

Active since June 17, 2024
3625 FULL MOON AVENUE, UNIT 2435, CHARLOTTE, NC 28262(910) 431-6063 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2025, Jun 17, 2024 (2 updates tracked since 2024).

About Tybria Penny NPPES

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

TYBRIA PENNY (NPI 1730922758) is an individual clinical provider in Charlotte, North Carolina and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1730922758
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTYBRIA PENNY
Location Address3625 FULL MOON AVENUE, UNIT 2435Charlotte, NC 28262
Mailing Address3625 Full Moon Ave Apt 2435Charlotte, NC 28262-6928
Sole ProprietorNo
Enumeration DateJune 17, 2024
Last NPPES UpdateAugust 8, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
NPI 1730922758 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
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3625 FULL MOON AVENUE, UNIT 2435, Charlotte, NC 28262

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 Tybria Penny's NPI number?

The NPI number for Tybria Penny is 1730922758. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Tybria Penny located?

Tybria Penny practices at 3625 Full Moon Avenue, Unit 2435, Charlotte, NC 28262. The listed phone number is (910) 431-6063.

What is Tybria Penny'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 Tybria Penny was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.