Active NPI
Monique Kernisan, LCSW
- Clinical Social Worker
- Sleepy Hollow, NY
National Provider Identifier
1336893072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 239 N Broadway
Sleepy Hollow, NY 10591-2674 - Phone
- (914) 517-0502
- NPI assigned
- Feb 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| School Social Worker | 1041S0200X |
Addresses
Primary practice location
239 N Broadway
Sleepy Hollow, NY 10591-2674
Mailing address
203 Legend Dr Apt 2301
Sleepy Hollow, NY 10591-2964
Phone (845) 826-5739
Other practice location 1
1156 N Broadway
Yonkers, NY 10701-1108
Phone (914) 965-3700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729296000000",
"number": "1336893072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 LEGEND DR APT 2301",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105912964",
"telephone_number": "845-826-5739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 N BROADWAY",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105912674",
"telephone_number": "914-517-0502"
}
],
"practiceLocations": [
{
"address_1": "1156 N Broadway",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107011108",
"country_code": "US",
"telephone_number": "914-965-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERNISAN",
"first_name": "MONIQUE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2024-10-19",
"certification_date": "2024-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sleepy Hollow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.