Active NPI
Gerald Thomas Kurdy, LMSW
- Social Worker
- Lewiston, ID
National Provider Identifier
1932566486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-34119
- Practice address
- 531 Bryden Ave
Lewiston, ID 83501-4438 - Phone
- (208) 798-1646
- NPI assigned
- Jan 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW-34119 | ID | Primary |
Addresses
Primary practice location
531 Bryden Ave
Lewiston, ID 83501-4438
Mailing address
1106 11TH St
Lewiston, ID 83501-2871
Phone (208) 750-6824
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-34119 | ID | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sequoia Counseling Services, Inc. | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1932566486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 11TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835012871",
"telephone_number": "208-750-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 BRYDEN AVE",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014438",
"telephone_number": "208-798-1646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURDY",
"first_name": "GERALD",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-27",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "LMSW-34119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.