Active NPIIndividual providerSole proprietor

Mrs. Marianne Pennisi, LICSW

Social Worker, Clinical in Stoughton, Massachusetts

NPI Number1386877256
Practice location
186 Kotlik St, Stoughton, MA 02072-2712
Fax
—
Last updated
August 24, 2011

Marianne Pennisi is a Social Worker, Clinical based in Stoughton, MA. Marianne Pennisi practices in Stoughton, MA and has the professional credentials of LICSW. The NPI Number for Marianne Pennisi is 1386877256 and holds a License No. SW9490 (FL). The current practice location address for Marianne Pennisi is 186 Kotlik St, Stoughton, MA 02072-2712 and can be reached out via phone at 813-486-2441.

Provider Profile Details

NPI Number
1386877256
Provider Name
Marianne Pennisi
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
186 Kotlik St, Stoughton, MA 02072-2712
Phone Number
813-486-2441
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 26, 2009
Last Update Date
August 24, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
186 Kotlik St
Stoughton, MA 02072-2712
Zip
02072-2712
Phone Number
813-486-2441
Stoughton, MA 02072Get directions →

Provider Business Mailing Address Details

Address
186 Kotlik St
Stoughton, MA 02072-2712
City
Stoughton
State
MA
Zip
02072-2712
Phone Number
813-486-2441

License Information

License Number (1)
SW9490
License State (1)
FL
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
116473
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Marianne Pennisi, LICSW?

The NPI number of Mrs. Marianne Pennisi, LICSW is 1386877256. It was assigned on August 26, 2009 and is currently active in the NPPES registry.

What is the specialty of Mrs. Marianne Pennisi, LICSW?

Mrs. Marianne Pennisi, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in FL under license number SW9490.

Where does Mrs. Marianne Pennisi, LICSW practice?

The practice location is 186 Kotlik St, Stoughton, MA 02072-2712. The office can be reached at 813-486-2441 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386877256 directly on the NPPES registry website.

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