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

Mr. Kyle Jamison Penniman, MSW, LISAC, CADAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1922267079

Mr. Kyle Jamison Penniman, MSW, LISAC, CADAC is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

4020 N 20th St Ste 302
Phoenix, AZ 85016-6032
Phone: (602) 535-6468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1922267079
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LISAC , CADAC
Sole proprietorYes
NPI enumeratedJune 4, 2008
Last updated in NPPESJuly 27, 2012

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