Carolyn Kenyon is a Clinical in Ithaca, New York. Carolyn Kenyon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carolyn Kenyon is 1568550069. The last update date is 2007-07-08.
Carolyn Kenyon's current location address is 1000 Cayuga Heights Rd, Ithaca, New York. You can contact this provider via phone number 6072773014. The mailing address for Carolyn Kenyon is 1000 Cayuga Heights Rd, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Kenyon |
|---|---|
| Address | 1000 Cayuga Heights Rd, Ithaca, New York |
| Phone Number | 6072773014 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1568550069 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1000 Cayuga Heights Rd |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148501035 |
| Phone Number | 6072773014 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | PR018206-1 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 158892 | NY | VALUE OPTIONS | |
| AETNA | NY | 4273943 |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Carolyn Kenyon by the Centers for Medicare & Medicaid Services?
The Carolyn Kenyon has been assigned the NPI (National Provider Identifier) 1568550069 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Carolyn Kenyon is physically located?
The Carolyn Kenyon is physically situated at the following address: 1000 Cayuga Heights Rd, Ithaca, NY, 148501035.
What is the Carolyn Kenyon's area of specialization and corresponding taxonomy classification?
The Carolyn Kenyon's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1568550069 to Carolyn Kenyon?
The Centers for Medicare & Medicaid Services assigned the 1568550069 to Carolyn Kenyon on 2006-10-10.
As of what date was the information regarding Carolyn Kenyon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Carolyn Kenyon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC