Amora R McKenzie, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110118 Issued in NY

Practice address

860 Melrose Ave # 2L
Bronx, NY 10451-4443

Phone

(917) 473-6996

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1013516830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEADOWLANDS PKWY STE 408",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942901",
            "telephone_number": "917-583-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 MELROSE AVE # 2L",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514443",
            "telephone_number": "917-473-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "AMORA",
        "middle_name": "R",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110118",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "110118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110118",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura McKenna
• Rachel Ann McKenna
• Latanya McKenney
• Marie McKenzie-Tola, DDS
• Albee McKenzie
• Earl L McKenzie
• Gwendolyn Hanna McKenzie, LCSW
• Kayanne McKenzie, FNP
• Krista Justine McKenzie, DDS
• Melanda Odetta McKenzie, MS

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.