Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMBER KENYON LCSW
NPI 1780241919
Social Worker - Clinical in Cortland, NY

Active since May 22, 2019PECOS EnrolledAccepts Medicare Assignment
111 PORT WATSON ST, CORTLAND, NY 13045(607) 758-6100(607) 758-6116 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2024, Apr 29, 2024, May 22, 2019 (3 updates tracked since 2019).

About Amber Kenyon Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBER KENYON LCSW (NPI 1780241919) is an individual clinical provider in Cortland, New York, licensed in New York (096860) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1780241919
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMBER KENYONCredential: LCSW
Location Address111 PORT WATSON STCortland, NY 13045-3185
Mailing Address5 Katie LnMarathon, NY 13803-3521 · (607) 227-6171
Fax(607) 758-6116
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 22, 2019
Last NPPES UpdateJune 11, 20263 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
NPI 1780241919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 096860
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
111 PORT WATSON ST, Cortland, NY 13045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amber Kenyon Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022553486
PECOS Enrollment IDI20240710003617
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
111 PORT WATSON ST
CORTLAND, NY 13045
Licensed Practical Nurse
111 PORT WATSON ST
CORTLAND, NY 13045
Licensed Practical Nurse
111 PORT WATSON ST
CORTLAND, NY 13045
Licensed Practical Nurse
111 PORT WATSON ST
CORTLAND, NY 13045
Licensed Practical Nurse
111 PORT WATSON ST
CORTLAND, NY 13045
Licensed Practical Nurse
111 PORT WATSON ST
CORTLAND, NY 13045
Social Worker (Clinical)
111 PORT WATSON ST
CORTLAND, NY 13045
Licensed Practical Nurse
111 PORT WATSON ST
CORTLAND, NY 13045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amber Kenyon's NPI number?

The NPI number for Amber Kenyon is 1780241919. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Amber Kenyon located?

Amber Kenyon practices at 111 Port Watson St, Cortland, NY 13045. The listed phone number is (607) 758-6100.

What is Amber Kenyon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amber Kenyon enrolled in Medicare?

Yes. Amber Kenyon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amber Kenyon was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.