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

Kimberly Avanngeline Pennybrook, LICSW

Individual provider Clinical Social Worker · NPI 1770021685

Kimberly Avanngeline Pennybrook, LICSW is a Clinical Social Worker in Poulsbo, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

18978 Frnt ST NE # B
Poulsbo, WA 98370-7353
Phone: (253) 372-2412
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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 LW60682845 (WA)

Record details

NPI number1770021685
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 10, 2017
Last updated in NPPESFebruary 5, 2024
Certification dateJanuary 15, 2024

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