KATHERINE RAE PENNINGA NPI 1649546979

NPI Information

  • NPI: 1649546979
  • Provider Name: KATHERINE RAE PENNINGA
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 1601 PRECISION PARK LN
    SAN DIEGO, CA
    ZIP 92173
  • Phone: (619) 662-4100

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NPI Details

Katherine Rae Penninga is a social worker in San Diego, CA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Katherine Rae Penninga NPI is 1649546979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1601 PRECISION PARK LN
SAN DIEGO, CA
ZIP 92173-345
Phone: (619) 662-4100

The enumeration date for this NPI number is 3/30/2012 and was last updated on 7/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker6801093772MICHIGANNo
2104100000XSocial Worker90390CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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