JENNIFER KENYON (LCSW) – Clinical Social Worker, NPI 1245640911

JENNIFER KENYON (LCSW) is a healthcare provider. based in Valdosta, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW005863 (GA). The NPI Number for JENNIFER KENYON (LCSW) is 1245640911

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER KENYON (LCSW)
NPI
1245640911
Phone
(229) 244-4200
Address
3541 N CROSSING CIR
Enumeration Date
5 May 2014
Last Update Date
31 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292444200
Graduation Year
2013 (13 years ago)
PAC ID
1951698992
Group Practice PAC ID
6305832650
Professional Enrollment ID
I20160920000362
Address ID
GA316021019VA3541XCIRC400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

Provider Addresses for JENNIFER KENYON (LCSW)

  • 3541 N CROSSING CIR

    VALDOSTA, GA 316021019

    Phone: (229) 244-4200

    Fax: (229) 244-4995

    Type: Location

  • 5277 CYPRESS DR

    LAKE PARK, GA 316363143

    Phone: (229) 460-7846

    Fax: (229) 244-4995

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160920000362IClinical Social WorkerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour7614$0
90834Psychotherapy, 45 minutes4914$0
View full utilization report →

Insurance plans in this area (ZIP 31602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305832650View full group profile
NameSpecialtyState
Clinical Social WorkerGA
Clinical Social WorkerGA
P S Y C H I A T R YGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER KENYON (LCSW)?
The federal identifier for JENNIFER KENYON (LCSW) is NPI 1245640911.
Does this profile mean JENNIFER KENYON (LCSW) is currently active?
Yes — JENNIFER KENYON (LCSW) appears active in the national provider directory.
What kind of provider is JENNIFER KENYON (LCSW)?
The page reflects Clinical Social Worker for JENNIFER KENYON (LCSW). Clinical services aligned with this taxonomy classification.
Where does public data place JENNIFER KENYON (LCSW)?
The snapshot lists Valdosta, Georgia for JENNIFER KENYON (LCSW); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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