Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558817981 Individual Practitioner Female Practitioner

Kimberly Cordero

Social Worker • Eagle, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Cordero is a certified Social Worker practicing in Eagle, ID. With approximately 20 years of clinical experience since completing medical education in 2006, Kimberly Cordero delivers high-quality medical care to the local community at 533 E RIVERSIDE DR STE 120.

Kimberly Cordero accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

533 E Riverside Dr Ste 120

Eagle, ID 836166585

Telephone 2089063644
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Eagle, ID

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs Matches City Avg
City Avg: 20.0 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Eagle, ID (1625 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cordero (20 Years) 20 Yrs
Eagle Specialty Average (20.0 Years) 20.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-18
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License ID LMSW-28608

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1902225436 (ID)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Lindsay Kenley , NCC, LPC

Counselor - Mental Health

NPI 1831643154

National Certified Counselor, Licensed Professional Counselor

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 18, 2025

Registered at 533 E RIVERSIDE DR STE 120, EAGLE, ID 836166585 (Tel: 2089063644)

📍
Updated Business Mailing Address December 18, 2025

Registered at 13213 N DECHAMBEAU WAY, BOISE, ID 837149429 (Tel: 2089063644)

NPI Profile Active August 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2016

Registered at 5700 E FRANKLIN RD STE 250, NAMPA, ID 836877902 (Tel: 2086392301)

📍
Updated Business Mailing Address August 26, 2016

Registered at 12765 N 11TH AVE, BOISE, ID 837149334 (Tel: 2082497014)

👤
Provider Name / Credentials Updated August 26, 2016

Recorded as KIMBERLY CORDERO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2016

Social Worker (License #LMSW-28608 in ID)

🟢
Initial NPI Registration & Enumeration August 26, 2016

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: 1558817981
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2016
Last Update: December 18, 2025
Sole Proprietor: Yes

Mailing Address

13213 N Dechambeau Way

Boise, ID 837149429

Phone: 2089063644

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.