KIMBERLY ANN PENNOCK (LCSW) – Clinical Social Worker, NPI 1073659504

KIMBERLY ANN PENNOCK (LCSW) is a healthcare provider. based in Waterloo, Illinois. specializing in Clinical Social Worker. They hold the professional credentials LCSW. The NPI Number for KIMBERLY ANN PENNOCK (LCSW) is 1073659504

Main info

Female
Name
KIMBERLY ANN PENNOCK (LCSW)
NPI
1073659504
Phone
(618) 939-4444
Address
988 N ILLINOIS ROUTE 3
Enumeration Date
30 January 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for KIMBERLY ANN PENNOCK (LCSW)

  • Market at Illinois Route 3, North Market Street, Waterloo, Monroe County, Illinois, 62298, United States

    WATERLOO, IL 622981000

    Phone: (618) 939-4444

    Fax: (618) 939-4181

    Type: Location

  • 101, Lucys Landing, Waterloo, Monroe County, Illinois, 62298, United States

    WATERLOO, IL 622985510

    Phone: (618) 939-2917

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 62298)

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Reviews

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Frequently asked questions

How is KIMBERLY ANN PENNOCK (LCSW) identified in CMS data?
CMS-hosted NPPES data lists KIMBERLY ANN PENNOCK (LCSW) with NPI 1073659504.
Is KIMBERLY ANN PENNOCK (LCSW) listed as active for patients and plans?
The listing shows KIMBERLY ANN PENNOCK (LCSW) as active in the NPI system.
What is KIMBERLY ANN PENNOCK (LCSW) best known for clinically?
Directory data describes KIMBERLY ANN PENNOCK (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY ANN PENNOCK (LCSW) on a map?
Expect Waterloo, Illinois as a primary anchor for KIMBERLY ANN PENNOCK (LCSW) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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