Kadiata Hodia Coulibaly Sidime, MSW, APSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

134532-121 Issued in WI

Practice address

49 Kessel CT
Madison, WI 53711-6200

Phone

(608) 280-2700

NPI assigned

Sep 20, 2023

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

Other names 1

• Miss Kadiata Sidime Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Journey Mental Health Center, Inc.

  • Case Management Agency
  • Madison, WI
  • NPI 1841413879
  NPD

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1710765748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 KESSEL CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537116200",
            "telephone_number": "608-280-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 KESSEL CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537116200",
            "telephone_number": "608-280-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULIBALY SIDIME",
        "first_name": "KADIATA",
        "middle_name": "HODIA",
        "name_prefix": "Mrs.",
        "credential": "MSW, APSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "134532-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KADIATA",
            "last_name": "SIDIME",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Marie Cotter, MD
• Robert G. Couch, MSW, LISW
• Adam R Coughlin, M.D.
• Jesse Coughlin, RN
• Allison Couillard, MD
• Alison Marie Coulson, RN
• Counseling & Psychotherapy Services
• Counseling Associates of Madison, S.C.
• Counseling for the Body Mind and Spirit Inc.
• Counseling Resources Neuropsychological Associates, LLC

• Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.