Ryan M Kidder, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072770 Issued in IA

Practice address

500 Blank Honors Ctr
Iowa City, IA 52242-0454

Phone

(319) 467-4526

NPI assigned

Dec 2, 2014

Sex

Male

Sole proprietor

No

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

Enrolled in IA

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairie Home Wellness and CounselingGroup PAC ID 0143589994, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Prairie Home Wellness and Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monticello, IA
  • NPI 1992203061
  Medicare reassignment Care Compare group NPD
• State University of Iowa

  • Psychologist
  • Iowa City, IA
  • NPI 1073254181
  Medicare reassignment NPD

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1821495151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BLANK HONORS CTR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522420454",
            "telephone_number": "319-467-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BLANK HONORS CTR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522420454",
            "telephone_number": "319-467-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDDER",
        "first_name": "RYAN",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-02",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "072770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Kay Khongmaly, RN
• Brenden Khounlo
• Nabil Jose Khoury, MD
• Mary Leroy Khowassah, MD
• Michal A Kidacki, MD, PHD
• Michael G Kienzle, MD
• Vicki Jo Kijewski, MD
• James Kikendall, LISW
• Kathleen Ann Kikendall, PH.D.
• Kaskile Kikombe

• Clinical Social Worker in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.