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NPI Code Detail

MEDICARE: KATHERINE L. PENNINGTON LCSW

MEDICARE:   KATHERINE L. PENNINGTON  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker7940TN
21041C0700XClinical Social Worker5805CAL
31041C0700XClinical Social Worker5138KY

General Provider Information

NPI Number : 1043699416
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE L. PENNINGTON LCSW
Provider Business Mailing Address
First Line : 3147 CUSTER DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40517-4020
Country : US
Telephone Number : 859-314-8786
Fax Number :
Provider Business Practice Location Address
First Line : 3147 CUSTER DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40517-4020
Country : US
Telephone Number : 859-314-8786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2015
Last Update Date : 10/06/2025

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Directions to “ KATHERINE L. PENNINGTON LCSW” Practice Location

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