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Carolyn Ford Penn, LSW

NPI 1528834488ActiveIndividual· Developmental Therapist· Granger, IN

Developmental Therapist (LSW) in Granger, Indiana, with an NPI issued in November 2023.

Overview

NPI1528834488
StatusActive
Entity typeIndividual
CredentialLSW
Sole proprietorNo
NPI issuedNov 30, 2023
Last updated in NPPESNov 30, 2023
Certified by providerNov 30, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Developmental Therapist Primary222Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Developmental Therapist providers in Granger

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