LEONARD R PENNISI (LMSW) – Clinical Social Worker, NPI 1700343464
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,821 CLINICAL SOCIAL WORKER in MI
Provider Addresses for LEONARD R PENNISI (LMSW)
18518 Outer Dr
Dearborn, MI 481281874
Phone: (734) 407-7701
Fax: (313) 722-4391
Type: Location
18200 OAKWOOD BLVD
DEARBORN, MI 481245025
Phone: (947) 524-2760
Type: Mailing
4716, Orchard Avenue, Orchard Boulevard, Dearborn, Wayne County, Michigan, 48126, United States
DEARBORN, MI 481264615
Phone: (313) 898-5709
Type: Mailing
6451, Schaefer Road, Dearborn, Wayne County, Michigan, 48126, United States
DEARBORN, MI 481262212
Phone: (313) 945-8138
Fax: (313) 624-9418
Type: Location
2651 SAULINO CT
DEARBORN, MI 481201556
Phone: (313) 842-7071
Fax: (313) 842-5150
Type: Mailing
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 480333849
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-03-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210330001506 | I | Clinical Social Worker | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | PA | |
| Psychiatry, Geriatric Psychiatry | MI |
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