Ana M Keneni, LCSW119780

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCSW119780 Issued in CA

Practice address

2420 Martin Rd
Fairfield, CA 94534-8651

Phone

(202) 826-3900

NPI assigned

Jun 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northern Valley Indian Health Inc

  • Clinic/Center
  • Willows, CA
  • NPI 1295752384
  NPD
• Northern Valley Indian Health Inc

  • Clinic/Center
  • Chico, CA
  • NPI 1750031548
  NPD

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1700371200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 MARTIN RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945348651",
            "telephone_number": "707-428-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 MARTIN RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945348651",
            "telephone_number": "202-826-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENENI",
        "first_name": "ANA",
        "middle_name": "M",
        "credential": "LCSW119780",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW119780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC CLINICS",
            "identifier": "9668",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2536",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Kellum
• Christine Kelly
• Laura Kelly, RAS
• Julia Kay Kelso, LMFT
• Jereline Kendrick, PH.D.,MFT
• Kennedi Place LLC
• Chelsea M Kennedy
• Christie L. Kennedy, MSN, FNP
• Sandra Kennedy, P.T.
• Bernard Keovoravongsa

• Social Worker in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.