Asya Penzo-shumard, is a medicare enrolled "Social Worker - Clinical" provider in Honolulu, Hawaii. She went to University Of South Carolina School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Wellspring Psychology Group Llc and her current practice location is
200 N Vineyard Blvd Ste A325, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(773) 888-3312.
Asya Penzo-shumard is licensed to practice in South Carolina (license number 11756) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376994335.
Healthcare Provider's Profile
| Full Name | Asya Penzo-shumard |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 10 Years |
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| Location | 200 N Vineyard Blvd Ste A325, Honolulu, Hawaii |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Asya Penzo-shumard attended and graduated from University Of South Carolina School Of Medicine in 2016
NPI Data:
- NPI Number: 1376994335
- Provider Enumeration Date: 06/30/2016
- Last Update Date: 04/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 6406141571
- Enrollment ID: I20160829001255
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 | 5476 (Hawaii) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11756 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wellspring Psychology Group Llc | 9537382692 | 12 |
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
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Asya Penzo-shumard,
Po Box 235292,
Honolulu, HI 96823-3504
Ph: (773) 888-3312 | Asya Penzo-shumard,
200 N Vineyard Blvd Ste A325,
Honolulu, HI 96817-3938
Ph: (773) 888-3312 |
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