Penberthy, Caroline

Penberthy, Caroline is an individual health care provider with primary practice located at 12166 Old Big Bend Rd Suite 100, Kirkwood MO 63122-6844. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Penberthy, Caroline can be contacted via phone (314) 909-0211.

Contact Information

Primary practice address
12166 Old Big Bend Rd Suite 100 Kirkwood MO 63122-6844
Phone: (314) 909-0211
Fax: (314) 909-0323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW000802 Missouri

Profile Details

NPI number 1639160062
LBN Legal business name Penberthy, Caroline
Credentials M.S.W., L.C.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639160062 NPPES
Missouri Other 472758 HEALTHLINK
Missouri Other R01055 HEALTHLINK
Missouri Other 6236004 HEALTHLINK
Missouri Other 125668 HEALTHLINK
Missouri Other O62230 HEALTHLINK

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