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

Kimberly Ann Pennock, LCSW

Individual provider Clinical Social Worker · NPI 1073659504

Kimberly Ann Pennock, LCSW is a Clinical Social Worker in Waterloo, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

988 N Illinois Route 3
Waterloo, IL 62298-1000
Phone: (618) 939-4444
Fax: (618) 939-4181
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (IL)

Record details

NPI number1073659504
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJuly 8, 2007

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