Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134387897 Individual Practitioner Male Practitioner

Michael Allen Ide , LSW

Social Worker • Kingston, PA

Professional Overview & Biography Verified Profile Summary

Michael Ide, LSW is a registered healthcare professional specializing in Social Worker in Kingston, PA. Practice services are available at 562 WYOMING AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

562 Wyoming Avenue
Choices

Kingston, PA 18704

Telephone 5705523700
Fax 5705523705
Associated Practice Facility / Clinic
🏢 Luzerne Wyoming Co Mhc#1 Facility NPI 1275654956

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Kingston, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Kingston, PA (5163 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 PA SW129791

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Practice Associates & Co-Workers

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

8 Associated Practitioners
Denise Tomsak , CAC

Counselor - Addiction (Substance Use Disorder)

NPI 1023294360
Ethellean Mcneil , BA

Clinic/Center - Rehabilitation, Substance Use Disorder

NPI 1134344542

Bachelor of Arts

Ryan Honeychurch , BS

Counselor - Addiction (Substance Use Disorder)

NPI 1184873945

Bachelor of Science

Roseanne Pace , MSW

Counselor - Addiction (Substance Use Disorder)

NPI 1275812661

Master of Social Work

Deanna Redman , BS

Clinic/Center - Rehabilitation, Substance Use Disorder

NPI 1316146368

Bachelor of Science

Mary Repasky , MS COUNSELING

Counselor - Addiction (Substance Use Disorder)

NPI 1528368826

MSCOUNSELING

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active August 17, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address August 17, 2017

Registered at 2005 SANDERSON AVENUE, SCRANTON, PA 18509 (Tel: 5702661635)

📍
Updated Practice Location August 17, 2017

Registered at 562 WYOMING AVENUE, CHOICES, KINGSTON, PA 18704 (Tel: 5705523700)

👤
Provider Name / Credentials Updated August 17, 2017

Recorded as MICHAEL IDE, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2017

Counselor

NPI Profile Active May 29, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2008

Registered at 562 WYOMING AVENUE, CHOICES, KINGSTON, PA 18704 (Tel: 5705523700)

📍
Updated Business Mailing Address May 29, 2008

Registered at 94 REAR MAIN STREET, MOCANAQUA, PA 18655 (Tel: 5703321923)

👤
Provider Name / Credentials Updated May 29, 2008

Recorded as MICHAEL IDE, BA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2008

Counselor

🟢
Initial NPI Registration & Enumeration May 29, 2008

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: 1134387897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2008
Last Update: August 17, 2017
Sole Proprietor: Yes

Mailing Address

2005 Sanderson Avenue

Scranton, PA 18509

Phone: 5702661635

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.