Individual
TRACY PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5722 OUTER LOOP, LOUISVILLE, KY 40219-4156
(502) 492-7455
(502) 921-0222
Mailing address
367 MEADOWCREST DR, MT WASHINGTON, KY 40047-6484
(502) 445-4074
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
255159
KY
1041C0700X
Clinical Social Worker
Primary
257873
KY
Other
Enumeration date
10/15/2020
Last updated
05/14/2024
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