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

Individual provider Clinical Social Worker · NPI 1568196251

Shaly M Penrod, LMSW is a Clinical Social Worker in Portage, Michigan. Qualified in 2022, 4 years ago. Practices with Downriver Mental Health Clinic PC, a 288-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

650 Trade Centre Way Ste 140
Portage, MI 49002-0411
Phone: (269) 492-6636
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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 6801119673 (MI)

Record details

NPI number1568196251
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJuly 11, 2022
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Downriver Mental Health Clinic Pc — 288 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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