Individual
CAROLINE PENBERTHY
Active
Individual
CAROLINE PENBERTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW000802
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125668
BLUE CROSS BLUE SHIELD
MO
01
—
472758
HEALTHLINK
MO
01
—
6236004
UNITED BEHAVIORAL HEALTH
MO
01
—
O62230
EXCLUSIVE CHOICE
MO
01
—
R01055
MERCY HEALTH PLANS
MO
Enumeration date
11/03/2005
Last updated
07/09/2007
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