National Provider Identifier
Heather A Penrose Lcsw Psychotherapy PLLC
Heather A Penrose Lcsw Psychotherapy PLLC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 330-9416.
Profile Overview
- NPI
- 1982376877
- Provider Type
- Organization
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 29, 2021
- Last Updated
- December 27, 2023
Practice Location
- 119 Averill Ave
- Rochester, NY 14620-1317
Phone: (585) 330-9416
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1982376877
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Heather A Penrose Lcsw Psychotherapy PLLC
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 119 Averill Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-1317
- Mailing Country
- US
- Mailing Phone
- (585) 330-9416
- Practice Street Address
- 119 Averill Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1317
- Practice Country
- US
- Practice Phone
- (585) 330-9416
- Enumeration Date
- September 29, 2021
- Last Updated
- December 27, 2023
- Authorized Official Last Name
- Penrose
- Authorized Official First Name
- Heather
- Authorized Official Title
- Psychotherapist
- Authorized Official Phone
- (585) 576-9415
- Organization Subpart
- No
- Authorized Official Credential Text
- LCSW-R
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- December 27, 2023
- Taxonomies
- Clinical Social Worker (1041C0700X)