Individual
AMY BETH PENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6500 WILSHIRE BLVD FL 19, LOS ANGELES, CA 90048-4920
(805) 764-9651
(747) 330-1670
Mailing address
1223 WILSHIRE BLVD UNIT 3189, SANTA MONICA, CA 90403-5406
(805) 764-9651
(747) 330-1670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW96724
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2015
Last updated
03/30/2026
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