Individual provider Active NPI

Mariah Kenna

  • Social Worker
  • New York, NY
National Provider Identifier
1639078819
Registry record updated Nov 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
303 5TH Ave RM 1002
New York, NY 10016-6639
Phone
(347) 391-0086
NPI assigned
Nov 3, 2026
Last updated
Nov 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NY Primary

Addresses

Primary practice location

303 5TH Ave RM 1002
New York, NY 10016-6639

Mailing address

303 5TH Ave RM 1002
New York, NY 10016-6639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1794096000000",
    "number": "1639078819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166639",
            "telephone_number": "347-391-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNA",
        "first_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-03",
        "last_updated": "2026-11-08",
        "certification_date": "2026-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.