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Deactivated NPI 1760699680 Deactivated / Inactive NPI Female Practitioner

Thomas Kidder

Social Worker • New Haven, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Thomas Kidder has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 17, 2007
NPI Deactivation Date February 27, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Thomas Kidder was a registered Social Worker practicing in New Haven, CT. Throughout an active medical career spanning 11 years, Thomas Kidder provided care at the practice location at 400 COLUMBUS AVE until profile deactivation on 2018-02-27.

Practice Location & Contact Primary Location

Practice Address

400 Columbus Ave

New Haven, CT 065191233

Telephone 2035033280
Fax 2035033297
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in New Haven, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
127 Specialists

Practicing in New Haven, CT (2159 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License CT 000630

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Linda Haas

Counselor - Professional

NPI 1073656229
Tushemia Roberts , RN

Registered Nurse

NPI 1083821821

Registered Nurse

Dorothy Dawkins , LPN

Licensed Practical Nurse

NPI 1265649156

Licensed Practical Nurse

NPI 1457326894

Doctor of Medicine (M.D.)

Janice Hall

Speech-Language Pathologist

NPI 1508909110
John Scarpa

Counselor - Professional

NPI 1538288014

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 27, 2018

Record deactivated on February 27, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 400 COLUMBUS AVE, NEW HAVEN, CT 065191233 (Tel: 2035033280)

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Updated Business Mailing Address July 08, 2007

Registered at 355 CENTRAL AVE, NEW HAVEN, CT 065152207 (Tel: 2033972472)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS KIDDER

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #000630 in CT)

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Initial NPI Registration & Enumeration May 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760699680
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2007
Last Update: July 08, 2007
Deactivation Date: February 27, 2018

Mailing Address

355 Central Ave

New Haven, CT 065152207

Phone: 2033972472

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.