Individual provider Active NPI

Christopher Alan Kidd, LICSW, CSW, MSSW

  • Clinical Social Worker
  • Louisa, KY
National Provider Identifier
1992148415
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256194 Issued in KY
Practice address
125 S Main Cross St
Louisa, KY 41230-1330
Phone
(606) 638-0938
Fax
(859) 813-5394
NPI assigned
Apr 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 256194 KY Primary
Clinical Social Worker 1041C0700X DP00944383 WV

Addresses

Primary practice location

125 S Main Cross St
Louisa, KY 41230-1330

Mailing address

125 S Main Cross St
Louisa, KY 41230-1330
Phone (606) 638-0938

Other practice location 1

9627 Millard Highway
Pikeville, KY 41501-8162
Phone (606) 754-8007

Other identifiers 2

IdentifierTypeStateIssuer
1992148415MedicaidWV
Q56867AOtherMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170706001995 WV Practitioner - Clinical Social Worker 2466721428 Reassigns benefits to 2 organizations
I20251204003376 KY Practitioner - Clinical Social Worker 2466721428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 390
Huntington, WV 25708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
256194KYMDClinical Social Worker
DP00944383WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Williamson Health & Wellness Center Inc CurrentSince Nov 26, 2018 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Nov 17, 2025 Accepting new patients
Williamson Health & Wellness Center Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Williamson Health & Wellness Center Inc CurrentSince Nov 26, 2018 Accepting new patients
Valley Health Systems, Inc CurrentSince Jan 6, 2021 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Nov 17, 2025 Accepting new patients
Valley Health Systems, Inc. CurrentSince Jan 6, 2021 Accepting new patients

Locations

71 Wayne St
Fort Gay, WV 25514
Phone (304) 648-5544

1301 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 525-0572

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136

184 E 2nd Ave
Williamson, WV 25661
Phone (304) 235-1844

Organizations & group practices 8

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1992148415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S MAIN CROSS ST",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301330",
            "telephone_number": "606-638-0938",
            "fax_number": "859-813-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S MAIN CROSS ST",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301330",
            "telephone_number": "606-638-0938",
            "fax_number": "859-813-5394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9627 Millard Highway",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415018162",
            "country_code": "US",
            "telephone_number": "606-754-8007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDD",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LICSW, CSW, MSSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256194",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00944383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992148415",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q56867A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.