KRISTAN ANN KUDERA BS IN PSYCHOLOGY
NPI 1821973330
Social Worker - Clinical in Boise, ID

Active since August 06, 2025
8610 W OVERLAND RD, BOISE, ID 83709(208) 514-2500 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristan Ann Kudera Bs In Psychology NPPES

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

KRISTAN ANN KUDERA BS IN PSYCHOLOGY (NPI 1821973330) is an individual clinical provider in Boise, Idaho and active in the NPI registry since August 2025. She maintains a secondary practice location in Caldwell.

NPPES Registry Identity

NPI1821973330
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTAN ANN KUDERACredential: BS IN PSYCHOLOGY
Location Address8610 W OVERLAND RDBoise, ID 83709-1645
Mailing Address8610 W Overland RdBoise, ID 83709-1645 · (208) 514-2500
Sole ProprietorNo
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
NPI 1821973330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
8610 W OVERLAND RD, Boise, ID 83709

Secondary Practice Location 1

Location 1315 E Elm StCaldwell, ID 83605-4857 · Phone (208) 514-2500 ext. 7093

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709
Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709
Marriage & Family Therapist
8610 W OVERLAND RD
BOISE, ID 83709
Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709
Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709
Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709
Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709
Pediatrics
8610 W OVERLAND RD
BOISE, ID 83709

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 Kristan Kudera's NPI number?

The NPI number for Kristan Kudera is 1821973330. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Kristan Kudera located?

Kristan Kudera practices at 8610 W Overland Rd, Boise, ID 83709. The listed phone number is (208) 514-2500.

What is Kristan Kudera's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kristan Kudera was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.