Healthcare Provider Details

I. General information

NPI: 1417470964
Provider Name (Legal Business Name): KENSEENER CARPENTER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KENSEENER CARPENTER LCSW

II. Dates (important events)

Enumeration Date: 07/17/2017
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 DEHAVEN DR
YONKERS NY
10703-1349
US

IV. Provider business mailing address

119 DEHAVEN DR
YONKERS NY
10703-1349
US

V. Phone/Fax

Practice location:
  • Phone: 914-635-2687
  • Fax: 914-371-3845
Mailing address:
  • Phone: 914-635-2687
  • Fax: 914-371-3845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: