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KENYA M KIDDER LCSW
NPI 1366724312
Social Worker in Goshen, IN

Active since September 15, 2011PECOS Enrolled
1011 COLONIAL MANOR DR, GOSHEN, IN 46526(574) 238-3431 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenya M Kidder Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENYA M KIDDER LCSW (NPI 1366724312) is an individual social worker in Goshen, Indiana and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366724312
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKENYA M KIDDERCredential: LCSW
Location Address1011 COLONIAL MANOR DRGoshen, IN 46526-1297
Mailing Address1011 Colonial Manor DrGoshen, IN 46526-1297 · (574) 238-3431
Phone(574) 238-3431
Sole ProprietorNo
Enumeration DateSeptember 15, 2011
Last NPPES UpdateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
✔ NPI 1366724312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1011 COLONIAL MANOR DR, Goshen, IN 46526
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenya M Kidder Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kenya Kidder reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oaklawn Psychiatric Center, Inc.
7.0 mi
Mental Health (Including Community Mental Health Center)
2600 OAKLAND AVE
Elkhart, IN 46517
  • Reassigned Medicare billing, Indiana enrollment
  • 116 clinicians in this Medicare group
NPI 1598847212 (574) 533-1234
Sondermind Provider Network LLC
1,011 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Indiana enrollment
  • 136 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279
Grow Healthcare Group PA
1,138 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Indiana enrollment
  • 417 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenya Kidder's NPI number?

The NPI number for Kenya Kidder is 1366724312. It was assigned to this individual provider in the NPPES registry on September 15, 2011.

Where is Kenya Kidder located?

Kenya Kidder practices at 1011 Colonial Manor Dr, Goshen, IN 46526. The listed phone number is (574) 238-3431.

What is Kenya Kidder's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kenya Kidder enrolled in Medicare?

Yes. Kenya Kidder is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenya Kidder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenya Kidder reassigns Medicare benefits to 3 organizations: Oaklawn Psychiatric Center, Inc. (Elkhart, IN), Sondermind Provider Network LLC (Denver, CO) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenya Kidder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenya Kidder accept?

Health plans from CareSource, Cigna Healthcare and UnitedHealthcare list Kenya Kidder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenya Kidder was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.