Deactivated NPI 1326555285 Deactivated / Inactive NPI Female Practitioner

Kimberly Ide

Social Worker • Maspeth, NY

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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, Kimberly Ide has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 01, 2018

NPI Deactivation Date August 23, 2021

Total Practice Duration ~3 Years of Practice (2018 – 2021)

Professional Overview & Biography Verified Profile Summary

Kimberly Ide was a registered Social Worker practicing in Maspeth, NY. Throughout an active medical career spanning 3 years, Kimberly Ide provided care at the practice location at 5274 62ND ST until profile deactivation on 2021-08-23.

Practice Location & Contact Primary Location

Practice Address

5274 62nd St

Maspeth, NY 113781338

Telephone 6462691581

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Maspeth, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.0 Yrs

State Avg: 20.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Maspeth, NY (23970 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

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY 101983

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.

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 August 23, 2021

Record deactivated on August 23, 2021

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NPI Profile Active January 01, 2018

NPI status registered as active in NPPES database

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Updated Practice Location January 01, 2018

Registered at 5274 62ND ST, MASPETH, NY 113781338 (Tel: 6462691581)

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Updated Business Mailing Address January 01, 2018

Registered at 5274 62ND ST, MASPETH, NY 113781338

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Provider Name / Credentials Updated January 01, 2018

Recorded as KIMBERLY IDE

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2018

Social Worker (License #101983 in NY)

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Initial NPI Registration & Enumeration January 01, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1326555285

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 01, 2018

Last Update: January 01, 2018

Deactivation Date: August 23, 2021

Update or Correct Profile

Mailing Address

5274 62nd St

Maspeth, NY 113781338

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.