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

Mr. Jack Michael Penry, LCSW

Individual provider Clinical Social Worker · NPI 1386651677

Mr. Jack Michael Penry, LCSW is a Clinical Social Worker in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
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

4300 W 7th St Attn: 122LR
Little Rock, AR 72205-5446
Phone: (501) 257-6734
Fax: (501) 257-5071
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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 C 213 (AR)

Record details

NPI number1386651677
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJuly 8, 2007

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