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

Individual provider Clinical Social Worker · NPI 1568559391

Mr. Irvin Roy Penner, LSCSWMSW is a Clinical Social Worker in Wichita, Kansas. Qualified in 1966, 60 years ago. Accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
60
Licensed in
KS
In the registry since
2006
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Practice location Address checks out

5120 E Central A
Wichita, KS 67208
Phone: (316) 681-3840
Fax: (316) 684-5136
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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 0159 (KS)

Record details

NPI number1568559391
Entity typeIndividual (Type 1)
GenderMale
Credentials LSCSWMSW
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1966 (60 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wichita