Active NPI
Patricia Ann Kidder, LMSW
- Social Worker
- Albany, NY
National Provider Identifier
1962459966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0337687
- Practice address
- 113 Holland Avenue
Albany, NY 12208 - Phone
- (518) 626-6693
- Fax
- (518) 626-6554
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 0337687 | NY | Primary |
Addresses
Primary practice location
113 Holland Avenue
Albany, NY 12208
Mailing address
1 Marlene Drive
Albany, NY 12205
Phone (518) 542-5657
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 |
|---|---|---|---|
| 0337687 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962459966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MARLENE DRIVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12205",
"telephone_number": "518-542-5657",
"fax_number": "518-626-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 HOLLAND AVENUE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "518-626-6693",
"fax_number": "518-626-6554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDDER",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "0337687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.