Individual provider Active NPI

Coleen D Kidd, LSCSW

  • Social Worker
  • Topeka, KS
National Provider Identifier
1194132209
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4275 Issued in KS
Practice address
2601 SW 3Rd St Unit 1a
Topeka, KS 66606-2438
Phone
(785) 270-4600
Fax
(785) 270-4628
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4275 KS Primary
Clinical Social Worker 1041C0700X 4275 KS

Addresses

Primary practice location

2601 SW 3Rd St Unit 1a
Topeka, KS 66606-2438

Mailing address

7300 SW Cannock Chase Rd
Topeka, KS 66614-1534
Phone (785) 213-2986

Other practice location 1

4101 SW Martin Dr Ste C
Topeka, KS 66609-1221
Phone (785) 783-8438

Other identifiers 1

IdentifierTypeStateIssuer
4275MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4275KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1194132209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW CANNOCK CHASE RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666141534",
            "telephone_number": "785-213-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 3RD ST UNIT 1A",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062438",
            "telephone_number": "785-270-4600",
            "fax_number": "785-270-4628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 SW Martin Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666091221",
            "country_code": "US",
            "telephone_number": "785-783-8438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDD",
        "first_name": "COLEEN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "4275",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4275",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.