National Provider Identifier
Carolyn Kenyon, MSW
Carolyn Kenyon, MSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 277-3014.
Profile Overview
- NPI
- 1568550069
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 10, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1000 Cayuga Heights RD
- Ithaca, NY 14850-1035
Phone: (607) 277-3014
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1568550069
- Entity Type
- Individual
- Last Name
- Kenyon
- First Name
- Carolyn
- Name Prefix
- MS.
- Credential
- MSW
- Mailing Street Address
- 1000 Cayuga Heights RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1035
- Mailing Country
- US
- Mailing Phone
- (607) 277-3014
- Practice Street Address
- 1000 Cayuga Heights RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1035
- Practice Country
- US
- Practice Phone
- (607) 277-3014
- Enumeration Date
- October 10, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 158892 (NY, Value Options), AETNA (NY, 4273943)