Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathy Penner, LCSW, PLLC

Organization Community/Behavioral Health Agency · NPI 1851036321

Kathy Penner, LCSW, PLLC is a Community/Behavioral Health Agency in Camillus, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5413 W Genesee St Ste 101
Camillus, NY 13031
Phone: (315) 870-8295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1851036321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Penner — Member/Owner · (315) 870-8295
NPI enumeratedApril 29, 2022
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022
Mailing address5413 West Genesee Street, Suite 101, Camillus, NY 13031

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