GREGORY E PENNINGTON (NPI# 1073642294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073642294 |
| Entity Type | Individual |
| Full Name | GREGORY E PENNINGTON |
| Credential | LCSW |
| Practice Address |
200 Health Care Drive Wellness Link Greenville Regional Hospital Greenville IL 62246 |
| Mailing Address |
200 Healthcare Drive Suite 214 Gregory E Pennington Co Wellness Link Greenville IL 62246 |
| Practice Telephone | 6186642922 |
| Practice Fax Number | 6186640318 |
| Mailing Telephone | 6186642922 |
| Mailing Fax Number | 6186640318 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2011-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149007651 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICAL LICENSE | 149007651 | 01 |
| Street Address |
200 HEALTH CARE DRIVE WELLNESS LINK GREENVILLE REGIONAL HOSPITAL |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| 1770936692 | Bavithira Abivarshia Devasenathipathy | Family Medicine | 201 Health Care Dr, Greenville, IL 62246 | 2016-07-15 |
| Find all providers in zip 62246 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1710596812 | Kiera Clemmons | Social Worker | 1611 Sandstone Ct, Greenville, NC 27834-0377 | 2020-07-24 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1346870698 | From The Ground Up Wellness Center, LLC | Social Worker | 31 Smith Ave Unit 3, Greenville, RI 02828-1730 | 2020-01-24 |
| 1790324580 | Margaret Vester | Social Worker | 1502 E 4th St, Greenville, NC 27858-2609 | 2019-12-27 |
| 1003467267 | Martrell Denise Kelly John | Social Worker | 250 Commonwealth Dr, Greenville, SC 29615-4846 | 2019-09-27 |
| 1336790633 | Jenna Bonnell Canterbury | Social Worker | 926 Cleveland St Apt 4208, Greenville, SC 29601-4651 | 2019-09-27 |
| 1386294361 | Desirae Rivers | Social Worker | 132 Chandler Dr Apt B, Greenville, NC 27834-6075 | 2019-09-12 |
| 1770048365 | The Soar Firm, LLC | Social Worker | 2320 E North St Ste Gg8, Greenville, SC 29607-1247 | 2019-02-07 |
| 1447733068 | Kerri Lanzieri | Social Worker | 562 Putnam Pike, Greenville, RI 02828-2126 | 2018-09-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
Please comment or provide details below to improve the information on GREGORY E PENNINGTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.