Individual provider · Type 1 NPI

Amber Kenyon, LCSW

Clinical Social Worker · Cortland, NY

NPI number 1780241919 Active

Practice location

111 Port Watson St
Cortland, NY 13045-3185

Call (607) 758-6100 Map

Fax (607) 758-6116

Mailing address

5 Katie Ln
Marathon, NY 13803-3521

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X096860 (NY)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1780241919

Amber Kenyon, LCSW's National Provider Identifier is 1780241919, issued on May 22, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cortland, NY. The record was last updated on Jun 11, 2026.