Active NPI
Kennon Lashawn Ross
- Social Worker
- Capitol Heights, MD
National Provider Identifier
1396609129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4323 Urn St
Capitol Heights, MD 20743-5831 - Phone
- (202) 826-0125
- NPI assigned
- Dec 15, 2025
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | DC | ||
| Social Worker | 104100000X | DC | Primary |
Addresses
Primary practice location
4323 Urn St
Capitol Heights, MD 20743-5831
Mailing address
4323 Urn St
Capitol Heights, MD 20743-5831
Phone (202) 826-0125
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": "1765756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1396609129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4323 URN ST",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207435831",
"telephone_number": "202-826-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4323 URN ST",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "207435831",
"telephone_number": "202-826-0125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KENNON",
"middle_name": "LASHAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-15",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capitol Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.