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MRS. PENNY ANITA CARROLL CADC II ,ICADC
NPI 1780993857
Counselor - Addiction (Substance Use Disorder) in Barstow, CA

Active since October 06, 2010
1841 E MAIN ST, BARSTOW, CA 92311(760) 255-5700(760) 256-0509 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Penny Anita Carroll Cadc Ii ,icadc NPPES

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

MRS. PENNY ANITA CARROLL CADC II ,ICADC (NPI 1780993857) is an individual addiction (substance use disorder) provider in Barstow, California, licensed in California (01-036484) and active in the NPI registry since October 2010. She maintains a secondary practice location in Victorville.

NPPES Registry Identity

NPI1780993857
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. PENNY ANITA CARROLLCredential: CADC II ,ICADC
Location Address1841 E MAIN STBarstow, CA 92311-3234
Mailing Address1841 E Main StBarstow, CA 92311-3234 · (607) 255-5700 · Fax (760) 256-5092
Phone(760) 255-5700
Fax(760) 256-0509
Sole ProprietorYes
Enumeration DateOctober 6, 2010
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1780993857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 01-036484
1841 E MAIN ST, Barstow, CA 92311
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Secondary Practice Location 1

Location 113333 Palmdale RdVictorville, CA 92392-9364 · Phone (760) 241-4917 ext. 228 · Fax (760) 241-8911

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.

JENNIFER JEWERT LCSW
Social Worker (Clinical)
1841 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 255-5700
COUNTY OF SAN BERNARDINO
Clinic/Center (Rehabilitation, Substance Use Disorder)
1841 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 255-5700
JAZZMINE HARRIS-CLARK
Counselor
1841 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 255-5700
MRS. TIFFANY MARIE WHITE RN
Registered Nurse
1841 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 255-5700
STEPHEN JOSEPH DIAZ
Day Training/Habilitation Specialist
1841 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 255-5700
JENNIFER PERRY MSW, ASW
Social Worker (Clinical)
1841 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 255-5700
DR. KIMBERLY LYNN OLSON PH.D.
Psychologist (Clinical)
1841 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 255-5700
MISS MICHAEL ANN CLINE CADC LL -CA
Counselor (Addiction (Substance Use Disorder))
1841 E MAIN ST
BARSTOW, CA 92311
San Bernardino County (760) 909-8891

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 Penny Carroll's NPI number?

The NPI number for Penny Carroll is 1780993857. It was assigned to this individual provider in the NPPES registry on October 6, 2010.

Where is Penny Carroll located?

Penny Carroll practices at 1841 E Main St, Barstow, CA 92311. The listed phone number is (760) 255-5700.

What is Penny Carroll's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Penny Carroll was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.