Individual provider Active NPI

Jody M Kenyon, LCSW

  • Clinical Social Worker
  • Norwich, NY
National Provider Identifier
1699156091
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081755-1 Issued in NY
Practice address
3 Ohara Dr
Norwich, NY 13815-2046
Phone
(607) 334-8244
Fax
(607) 336-5779
NPI assigned
Jun 11, 2015
Last updated
Jun 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 081755-1 NY Primary

Addresses

Primary practice location

3 Ohara Dr
Norwich, NY 13815-2046

Mailing address

3 Ohara Dr
Norwich, NY 13815-2046
Phone (607) 334-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180919002947 NY Practitioner - Clinical Social Worker 3678824307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4220 State Route 417 W
Wellsville, NY 14895-9332
Phone 5855936300207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081755-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jody Kenyon, LCSW-R Counseling Services Clinical Current Accepting new patients
Allegany Rehabilitation Associates, Inc CurrentSince Jul 17, 2023 Accepting new patients
Allegany Rehabilitation Associates, Inc CurrentSince Jul 17, 2023 Accepting new patients
Allegany Rehabilitation Associates, Inc. Current Accepting new patients
Kenyon Counseling LCSW PLLC Current Accepting new patients
Catholic Charities of Chenango County Past Accepting new patients
Chenango County Catholic Charities Past Accepting new patients

Locations

14 Center St
Cuba, NY 14727
Phone (585) 968-3210

126 W State St
Wellsville, NY 14895
Phone (585) 596-2147

4220 State Route 417 W
Wellsville, NY 14895
Phone (585) 593-6300

4222 Bolivar Rd
Wellsville, NY 14895
Phone (585) 593-1655

50 School St
Rm 93
Wellsville, NY 14895

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1699156091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OHARA DR",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138152046",
            "telephone_number": "607-334-8244",
            "fax_number": "607-336-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OHARA DR",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138152046",
            "telephone_number": "607-334-8244",
            "fax_number": "607-336-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON",
        "first_name": "JODY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081755-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.