Pennwalt Therapeutics, Pllc

Clinical Social Worker · Dudley, NC

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At a glance

140 Quail Drive, Dudley, NC 28333

NPPES record updated Feb 3, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

140 Quail Drive
Dudley, NC 28333

Professional details: NPI, taxonomy & registry record

NPI1639029010

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Registry details

Primary taxonomy: Clinical Social Worker
Taxonomy code: 1041C0700X
Enumeration date: Feb 3, 2026
Record updated: Feb 3, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

140 Quail Drive
Dudley, NC 28333

Phone: (919) 583-5247
Fax: (800) 916-5488

Mailing address

PO BOX 761

DUDLEY, NC 283330761

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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