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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. VIDA LYNNE PENN-LEON, LCSW-C

Active Sole Proprietor

MRS. VIDA LYNNE PENN-LEON, LCSW-C is a Clinical Social Worker healthcare provider located in KNOXVILLE, Maryland. NPI 1225150980 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · KNOXVILLE, MD

Registration Details

NPI Number
1225150980
Provider Type
Individual
Gender
Female
NPI Issued
Apr 4, 2007 (19.177416079614 yrs)
Last Updated
Feb 15, 2025
Licenses
10379 (MD)
0904015550 (VA)
Sole Proprietor
Yes

Practice Information

Address
917 HOFFMASTER RD # MD
KNOXVILLE, MD, 217581216
Browse MD providers · Browse ZIP 21758
Phone
8884585199
Fax
2403378598
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in KNOXVILLE, MD

Name Credential NPI
KELLY ANNE PRICE LCSWC 1104866342
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.