Asya Penzo-shumard, is a
Social Worker - Clinical based in Society Hill, South Carolina. Asya Penzo-shumard is licensed to practice in South Carolina (license number 11756) and her current practice location is
737 S Main St, Society Hill, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 378-4501.
NPI number for Asya Penzo-shumard is 1376994335 and her current mailing address is Po Box 1090, Hartsville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376994335.
Healthcare Provider's Profile
| Full Name | Asya Penzo-shumard |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 737 S Main St, Society Hill, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376994335
- Provider Enumeration Date: 06/30/2016
- Last Update Date: 09/13/2017
Medical Identifiers
Medical identifiers for Asya Penzo-shumard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376994335 | NPI | - | NPPES |
| LW1048 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 11756 (South Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11756 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Asya Penzo-shumard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Asya Penzo-shumard,
Po Box 1090,
Hartsville, SC 29551-1090
Ph: (843) 857-0111 | Asya Penzo-shumard,
737 S Main St,
Society Hill, SC 29593-8972
Ph: (843) 378-4501 |
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