Kennesha A. Mair, MSW
Social Worker in Wilton Manors, FL. Individual provider (NPI-1).
NPI number1124379052
StatusActive
Last updated in NPPESOct 2, 2012
Details
- NPI
- 1124379052
- Entity type
- Individual (NPI-1)
- Name
- Miss Kennesha A. Mair
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2012
- Last updated
- Oct 2, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | ISW 4357 | FL | Yes |
Practice location
819 Ne 26th StWilton Manors, FL 33305-1239
Phone 954-390-7654
Mailing address
819 Ne 26th StWilton Manors, FL 33305-1239
Phone 954-390-7654
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Social Worker providers in Wilton Manors · All 561 providers in Wilton Manors
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