Mr. David P Pennacchia, MSW, LICSW
Social Worker, Clinical in Revere, Massachusetts
1710254685- Practice location
- 300 Ocean Ave, Revere, MA 02151-3675
- Phone
- 781-485-6306
- Fax
- —
- Last updated
- July 7, 2023
David Paul Pennacchia is a Social Worker, Clinical based in Revere, MA. David Paul Pennacchia practices in Revere, MA and has the professional credentials of MSW, LICSW. The NPI Number for David Paul Pennacchia is 1710254685 and holds a License No. 114459 (MA). The current practice location address for David Paul Pennacchia is 300 Ocean Ave, Revere, MA 02151-3675 and can be reached out via phone at 781-485-6306.
Provider Profile Details
- NPI Number
- 1710254685
- Provider Name
- David Paul Pennacchia
- Credential
- MSW, LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 300 Ocean Ave, Revere, MA 02151-3675
- Phone Number
- 781-485-6306
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 21, 2011
- Last Update Date
- July 7, 2023
- Certification Date
- July 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Ocean Ave
Revere, MA 02151-3675 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-3675
- Phone Number
- 781-485-6306
Provider Business Mailing Address Details
- Address
- 300 Ocean Ave
Revere, MA 02151-3675 - City
- Revere
- State
- MA
- Zip
- 02151-3675
- Phone Number
- 781-485-6306
License Information
- License Number
- 114459
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Revere, MA
View all Social Worker, Clinical providers in Revere →- Bounthay PhathSocial Worker, Clinical · NPI 1346387750
- Carol BroderSocial Worker, Clinical · NPI 1790260586
- Caroline Marchetta CampbellSocial Worker, Clinical · NPI 1437606365
- Daniela MiraSocial Worker, Clinical · NPI 1114849700
- Dr. Polly W GrantSocial Worker, Clinical · NPI 1538286919
- Eglantina Malaj, LICSWSocial Worker, Clinical · NPI 1225738321
Frequently Asked Questions
What is the NPI number of Mr. David P Pennacchia, MSW, LICSW?
The NPI number of Mr. David P Pennacchia, MSW, LICSW is 1710254685. It was assigned on November 21, 2011 and is currently active in the NPPES registry.
What is the specialty of Mr. David P Pennacchia, MSW, LICSW?
Mr. David P Pennacchia, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114459.
Where does Mr. David P Pennacchia, MSW, LICSW practice?
The practice location is 300 Ocean Ave, Revere, MA 02151-3675. The office can be reached at 781-485-6306 (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 1710254685 directly on the NPPES registry website.