Active NPI
Yamani Kennon
- Social Worker
- Washington, DC
National Provider Identifier
1124715040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LG200004309
- Practice address
- 1427 Good Hope Rd SE
Washington, DC 20020-5614 - Phone
- (202) 836-4841
- NPI assigned
- Apr 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | LG200004309 | DC | Primary |
| School Social Worker | 1041S0200X |
Addresses
Primary practice location
1427 Good Hope Rd SE
Washington, DC 20020-5614
Mailing address
1671 Crooked Oak Dr
Orange Park, FL 32065-2620
Phone (904) 607-0053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG200004309 | DC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1124715040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1671 CROOKED OAK DR",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320652620",
"telephone_number": "904-607-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 GOOD HOPE RD SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200205614",
"telephone_number": "202-836-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNON",
"first_name": "YAMANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-20",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG200004309",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.