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

Kevin R Penberthy

Individual provider Clinical Social Worker · NPI 1427144880

Kevin R Penberthy is a Clinical Social Worker in Buffalo, New York. Qualified in 1988, 38 years ago. Licensed in New York.

Years since qualifying
38
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

7 Community Dr
Buffalo, NY 14225-2523
Phone: (716) 505-5630
Fax: (716) 892-1936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R39032-1 (NY)

Record details

NPI number1427144880
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address297 Curtis Pkwy, Buffalo, NY 14223-1833

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Not indicated

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