Individual
ANDREW PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
101 S 5TH ST STE 2500, LOUISVILLE, KY 40202-3066
(574) 546-1900
(574) 546-1999
Mailing address
PO BOX 10299, FORT WAYNE, IN 46851-0299
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252626
KY
Other
Enumeration date
03/01/2018
Last updated
11/11/2020
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