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JULIA KIDD LICSW
NPI 1578614285
Social Worker in Tisbury, MA

Active since January 16, 2007Opted out of Medicare · through Aug 19, 2027
9597 STATE RD, SUITE 301, TISBURY, MA 02568(508) 696-5966 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Julia Kidd Licsw NPPES

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

JULIA KIDD LICSW (NPI 1578614285) is an individual social worker in Tisbury, Massachusetts, licensed in Massachusetts (110579) and active in the NPI registry since January 2007. She has opted out of Medicare through August 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578614285
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJULIA KIDDCredential: LICSW
Location Address9597 STATE RD, SUITE 301Tisbury, MA 02568
Mailing AddressPo Box 4673Vineyard Haven, MA 02568
Phone(508) 696-5966
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1578614285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MA · 110579
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.
9597 STATE RD, Tisbury, MA 02568
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Other Identifiers 2

Medicare ID-Type UnspecifiedP22706MA
OtherP07757MA · Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Julia Kidd Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 19, 2019 through August 19, 2027.

Opt-Out Effective DateAugust 19, 2019
Opt-Out In Effect ThroughAugust 19, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Julia Kidd's NPI number?

The NPI number for Julia Kidd is 1578614285. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Julia Kidd located?

Julia Kidd practices at 9597 State Rd Suite 301, Tisbury, MA 02568. The listed phone number is (508) 696-5966.

What is Julia Kidd's specialty?

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

Is Julia Kidd enrolled in Medicare?

No. Julia Kidd has opted out of Medicare through August 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Julia Kidd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.