Active NPI
Darren Michael Kidd
- Social Worker
- Fresno, CA
National Provider Identifier
1821547373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1595 N Vagedes Ave
Fresno, CA 93728-1413 - Phone
- (559) 554-5127
- NPI assigned
- Sep 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1595 N Vagedes Ave
Fresno, CA 93728-1413
Mailing address
1595 N Vagedes Ave
Fresno, CA 93728-1413
Phone (559) 554-5127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100039AN | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1821547373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 N VAGEDES AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937281413",
"telephone_number": "559-554-5127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1595 N VAGEDES AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937281413",
"telephone_number": "559-554-5127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDD",
"first_name": "DARREN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-26",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100039AN",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.