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

MS. Judith Ann Penniman, LCSW

Individual provider Clinical Social Worker · NPI 1205074762

MS. Judith Ann Penniman, LCSW is a Clinical Social Worker in San Diego, California. Practices as a sole proprietor. Licensed in Arizona and California.

Licensed in
AZ, CA
In the registry since
2009
Specialties on file
2
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

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 532-6200
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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 LCS 6575 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW 2824 (AZ)

Record details

NPI number1205074762
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 21, 2009
Last updated in NPPESJanuary 21, 2009

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