Individual
DYAN L PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
96 SOUTH ST, WARE, MA 01082-1616
(413) 967-6241
Mailing address
228 BRIDGE STREET, P.O. BOX 565, WARREN, MA 01083
(413) 813-2372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300010
MBHP
MA
05
—
1300881
—
MA
Enumeration date
06/09/2009
Last updated
12/17/2025
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