Active NPI
Yathona Rashad Kennedy, LMSW
- Social Worker
- Rochester, NY
National Provider Identifier
1336574664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 086256
- Practice address
- 322 Lake Ave
Brown Square: Aljhc
Rochester, NY 14608 - Phone
- (585) 794-7705
- NPI assigned
- Sep 5, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 086256 | NY | Primary |
Addresses
Primary practice location
322 Lake Ave
Brown Square: Aljhc
Rochester, NY 14608
Mailing address
322 Lake Ave
Brown Square (Aljc)
Rochester, NY 14608
Phone (585) 794-7705
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1336574664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 LAKE AVE",
"address_2": "BROWN SQUARE (ALJC)",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14608",
"telephone_number": "585-794-7705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 LAKE AVE",
"address_2": "BROWN SQUARE: ALJHC",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14608",
"telephone_number": "585-794-7705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "YATHONA",
"middle_name": "RASHAD",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "086256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.