IndividualActive
Kimberly Pennock, LCSW
NPI 1073659504 · Clinical Social Worker · Waterloo, IL
Kimberly Pennock, LCSW is a Clinical Social Worker provider in Waterloo, IL (NPI 1073659504).
Provider details
- NPI number
- 1073659504
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
988 N Illinois Route 3
Waterloo, IL 62298-1000
Phone: (618) 939-4444
Fax: (618) 939-4181
Street-level locationGet directions
Mailing address
101 Lucys Lndg
Waterloo, IL 62298-5510
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kimberly Pennock's NPI number?
- Kimberly Pennock's National Provider Identifier (NPI) is 1073659504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Pennock's specialty?
- Kimberly Pennock is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kimberly Pennock located?
- Kimberly Pennock's practice location on file with NPPES is 988 N Illinois Route 3, Waterloo, IL 62298-1000.
- What is Kimberly Pennock's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Pennock is (618) 939-4444.
- Is Kimberly Pennock's NPI active?
- Yes — Kimberly Pennock's NPI (1073659504) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.