Dora Kidd, LBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802071799 Issued in MI

Practice address

12800 E Warren Ave
Detroit, MI 48215-2061

Phone

(313) 824-8000

Fax

(313) 824-5589

NPI assigned

Mar 22, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1053610667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17546 GATEWAY CIR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754716",
            "telephone_number": "248-552-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152061",
            "telephone_number": "313-824-8000",
            "fax_number": "313-824-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "DORA",
        "name_prefix": "Miss",
        "credential": "LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802071799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Siddique Khurram, MD
• Amna Nadeem Kiani, M.D.
• Brian Michael Kibby, AU.D.
• Onkemetse Phillip Kibitwe, PHARMD
• Alexandra Merritt Kidd
• Marian Annice Kidd, MS
• Sherena Kidd
• Valerie Kidd
• Kidds Comfort Transportation Services,LLC
• Kidney Centers of Michigan LLC (New Center Dialysis)

• Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.