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Contact Information

KATHY PENNER, LCSW, PLLC
5413 WEST GENESEE STREET
SUITE 101
CAMILLUS, NY13031
 Phone: 315-870-8295
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for KATHY PENNER, LCSW, PLLC

NPI # 1851036321
LBN Legal business name KATHY PENNER, LCSW, PLLC
Authorized official KATHY PENNER - (MEMBER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/29/2022
Last updated 04/29/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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