James Willliam Kidwell, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC5916 Issued in ME

Practice address

1 VA Center 122B
VA Hospital
Augusta, ME 04330

Phone

(207) 623-8411

Fax

(207) 623-5719

NPI assigned

Oct 18, 2006

Sex

Male

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700967577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 GREENLIEF ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305325",
            "telephone_number": "207-622-4895",
            "fax_number": "207-622-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VA CENTER 122B",
            "address_2": "VA HOSPITAL",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "04330",
            "telephone_number": "207-623-8411",
            "fax_number": "207-623-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDWELL",
        "first_name": "JAMES",
        "middle_name": "WILLLIAM",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC5916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Kenney, DO
• Patricia Ann Keohan, NP
• Shaista Khanum, MD
• Sara Beth Kheboian, PHARMD
• Joan Kheder, M.D.
• Evelyn Kieltyka, NP
• Bruce C Kilgour, D.M.D.
• Patrick Killoran, MD
• Ashlee Mae Kimball
• Brittany Jean Kimball

• Clinical Social Worker in Augusta, ME
• Providers in Augusta, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.