Individual provider Active NPI

Amihan Kernan, LGSW

  • Social Worker
  • Washington, DC
National Provider Identifier
1366057945
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LG50083394 Issued in DC
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.

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

LicenseStateTypeSpecialty
LG50083394DCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Paving the Way Multi Service Institute CurrentSince Sep 13, 2020 Accepting new patients
Self to Self Therapy LLC Current Accepting new patients
Zion Family Practice, LLC CurrentSince Sep 13, 2020 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)CodeLicenseStatePrimary
Social Worker 104100000X LG50083394 DC Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.