| Marilyn C Pennington, LCSW | |
|
1500 Dodson Ave, Ste 125, Fort Smith, AR 72901-5182 | |
| (479) 573-7960 | |
| (479) 573-7961 |
| Full Name | Marilyn C Pennington |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1500 Dodson Ave, Fort Smith, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386810448 | NPI | - | NPPES |
| 175035741 | Medicaid | AR | |
| 200268680A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2237-C (Arkansas) | Primary |
| Entity Name | Deer Oaks Arkansas, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235393380 PECOS PAC ID: 9638232622 Enrollment ID: O20090119000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Marilyn C Pennington, LCSW Po Box 402319, Ds, Atlanta, GA 30384-2319 Ph: (479) 709-7399 | Marilyn C Pennington, LCSW 1500 Dodson Ave, Ste 125, Fort Smith, AR 72901-5182 Ph: (479) 573-7960 |
Katrina Abshere, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847 | |
Lorena Scott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847 | |
Wansley Harrison, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5101 Old Greenwood Rd Ste 105, Fort Smith, AR 72903 Phone: 479-274-8847 | |
Rebecca L Sparks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10300 Jenny Lind Rd, Fort Smith, AR 72908 Phone: 479-385-2330 | |
Brenden Stephens, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847 | |
Andrea Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 | |
Cynthia Mclellan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 S 70th St, Fort Smith, AR 72903 Phone: 479-452-6650 Fax: 479-452-5847 |