Active NPI
Amihan Kernan, LGSW
- Social Worker
- Washington, DC
National Provider Identifier
1366057945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LG50083394
- Practice address
- 2616 Martin Luther King Jr Ave SE
Washington, DC 20020-7715 - Phone
- (202) 724-7847
- NPI assigned
- Sep 10, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Portland, OR
- NPI 1932043072
-
- Community/Behavioral Health Agency
- Washington, DC
- NPI 1407249378
-
- Family Medicine Physician
- Washington, DC
- NPI 1417420621
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 |
|---|---|---|---|
| LG50083394 | DC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paving the Way Multi Service Institute | Current | Accepting new patients | |
| Self to Self Therapy LLC | Current | Accepting new patients | |
| Zion Family Practice, LLC | Current | Accepting new patients |
Locations
2616 Martin Luther King Jr Ave SE
Washington, DC 20020
Phone (202) 724-7666
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LG50083394 | DC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2616 Martin Luther King Jr Ave SE
Washington, DC 20020-7715
Mailing address
2323 Sherman Ave NW Apt 355
Washington, DC 20001-5459
Phone (503) 333-0923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2020.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1366057945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 SHERMAN AVE NW APT 355",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200015459",
"telephone_number": "503-333-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 MARTIN LUTHER KING JR AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200207715",
"telephone_number": "202-724-7847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNAN",
"first_name": "AMIHAN",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": "LG50083394",
"primary": true
}
],
"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 Sep 10, 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.