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

Individual provider Clinical Social Worker · NPI 1245209329

Timothy Paul Pennington, LCSW is a Clinical Social Worker in Poplar Bluff, Missouri. Practices as a sole proprietor. Licensed in Arkansas and Missouri.

Licensed in
AR, MO
In the registry since
2006
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

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Phone: (573) 686-4151
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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 2004024505 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2042-C (AR)

Record details

NPI number1245209329
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 14, 2006
Last updated in NPPESMarch 13, 2015

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