Provider Demographics
NPI:1780482695
Name:PENNINGTON, APRIL (CSW)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:PENNINGTON
Suffix:
Gender:
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 BROOKS RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40769-8126
Mailing Address - Country:US
Mailing Address - Phone:606-515-2163
Mailing Address - Fax:
Practice Address - Street 1:65 CENTER AVE
Practice Address - Street 2:
Practice Address - City:WHITLEY CITY
Practice Address - State:KY
Practice Address - Zip Code:42653-4380
Practice Address - Country:US
Practice Address - Phone:606-376-7416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY259974104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker