Andrea Lauryn Kenoff, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50081332 Issued in DC

Practice address

4601 Connecticut Avenue Northwest
Apartment 511
Washington, DC 20008

Phone

(200) 498-8228

Fax

(202) 824-2554

NPI assigned

Aug 14, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 23, 2023 through Dec 23, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073038808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 CONNECTICUT AVE NW APT 511",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200085710",
            "telephone_number": "200-498-8228",
            "fax_number": "202-824-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 CONNECTICUT AVENUE NORTHWEST",
            "address_2": "APARTMENT 511",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20008",
            "telephone_number": "200-498-8228",
            "fax_number": "202-824-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENOFF",
        "first_name": "ANDREA",
        "middle_name": "LAURYN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50081332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimbra Kenney, M.D.
• Shirley Kenney
• Yamani Kennon
• Kyree Kenny
• Reed M Kenny
• Kany Kenou
• Akiya D Kent
• Christina Kent
• Claire Victoria Kent, PA-C
• Shawntay Kent

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.