Amber Kenyon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

096860 Issued in NY

Practice address

111 Port Watson St
Cortland, NY 13045-3185

Phone

(607) 758-6100

Fax

(607) 758-6116

NPI assigned

May 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cortland County County TreasurerGroup PAC ID 3173427028, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Cortland County County Treasurer

  • Clinical Social Worker
  • Cortland, NY
  • NPI 1821001579
  Medicare reassignment Care Compare group NPD
• Cortland County Health Department Nursing Clinics

  • Medical Specialty Clinic/Center
  • Cortland, NY
  • NPI 1821165416
  NPD

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1780241919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KATIE LN",
            "city": "MARATHON",
            "state": "NY",
            "postal_code": "138033521",
            "telephone_number": "607-227-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PORT WATSON ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453185",
            "telephone_number": "607-758-6100",
            "fax_number": "607-758-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON",
        "first_name": "AMBER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Keach, MFT LP
• Carol Keegan, RN
• Jeanette L Keith, M.P.T.
• Kim Marie Kelchner, F.N.P.
• Michael C Kennedy, DC
• Ellen K Ketchum, LCSW-R
• Tamim J Khaliqi, MD
• Maureen Anne Kiely, LCSW
• Rachel Anne King, M.S. CCC-SLP
• Courtney Kingston, PA

• Clinical Social Worker in Cortland, NY
• Providers in Cortland, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.