Individual provider Active NPI

Marie Alexey Kidd, LCSW

  • Clinical Social Worker
  • Helena, MT
National Provider Identifier
1124786371
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50797 Issued in MT
Practice address
616 Helena Ave Ste 316
Helena, MT 59601-3654
Phone
(406) 417-1370
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 50797 MT Primary

Addresses

Primary practice location

616 Helena Ave Ste 316
Helena, MT 59601-3654

Mailing address

234 Bonner Rd TRLR 3
Helena, MT 59602-9058
Phone (406) 465-5508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611004325 MT Practitioner - Clinical Social Worker 6608318134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50797MTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Association CurrentSince Apr 29, 2024 Accepting new patients
Memorial Hospital Association CurrentSince Apr 29, 2024 Accepting new patients
Marias Healthcare Services Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marie.kiddlcsw.p1@direct.mhsi.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1124786371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 BONNER RD TRLR 3",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596029058",
            "telephone_number": "406-465-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 HELENA AVE STE 316",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013654",
            "telephone_number": "406-417-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "MARIE",
        "middle_name": "ALEXEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "50797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.