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Ellen Ann Cleary-Penninger

Social Worker

Behavioral Health & Social Service Providers

3208 50th Street Ct Ste 205a, Gig Harbor, WA 98335-8486

PECOS Enrollment

This provider is enrolled in PECOS as ELLEN CLEARY-PENNINGER.

Based on the most recent information from CMS, provider Ellen Ann Cleary-Penninger is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1962747923
Provider Type
Individual
Full Name
Cleary-Penninger, Ellen Ann
Credential
MSW, LICSW

Gender
Female
Sole Proprietor
No
Enumeration Date
12/3/2012
Last Updated
9/5/2023

Contact Information

Practice Location

3208 50th Street Ct Ste 205a, Gig Harbor, WA 98335-8486

(425) 650-0101

(425) 650-0102

Mailing Location

3208 50th Street Ct Ste 205a, Gig Harbor, WA 98335-8486

(425) 650-0101

(425) 650-0102

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LW60515895 Washington

Ellen Ann Cleary-Penninger

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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