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

Daniel Ray Pennywell

Individual provider Case Manager/Care Coordinator · NPI 1376206482

Daniel Ray Pennywell is a Case Manager/Care Coordinator in Bossier City, Louisiana. Works from 2 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1505 Doctors Dr
Bossier City, LA 71111-3321
Phone: (318) 584-7133
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3821 Southern Ave, Shreveport, LA 71106-1033 — (318) 946-8157

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CIT-5353 (LA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence CIT-5353 (LA)

Record details

NPI number1376206482
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 15, 2021
Last updated in NPPESOctober 22, 2021
Certification dateOctober 22, 2021

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