Active NPI
Kendl N Jennings
- Social Worker
- New York, NY
National Provider Identifier
1609547140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 113771-01
- Practice address
- 320 Pleasant Ave
New York, NY 10035-4411 - Phone
- (917) 456-7953
- NPI assigned
- Sep 23, 2021
- 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 | 113771-01 | NY | Primary |
Addresses
Primary practice location
320 Pleasant Ave
New York, NY 10035-4411
Mailing address
444 2ND Ave Apt 33D
New York, NY 10010-2529
Phone (917) 891-1359
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Children | Direct |
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 |
|---|---|---|---|
| 113771-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1609547140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 2ND AVE APT 33D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100102529",
"telephone_number": "917-891-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 PLEASANT AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100354411",
"telephone_number": "917-456-7953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "KENDL",
"middle_name": "N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "113771-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Children",
"affiliation": "N",
"endpointDescription": "kids",
"use": "DIRECT",
"useDescription": "Direct",
"useOtherDescription": "NYC",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "444 2nd Ave Apt 33D",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100102529",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.