AMY KIDRICK (NPI# 1780099408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780099408 |
| Entity Type | Individual |
| Full Name | AMY KIDRICK |
| Credential | LICSW |
| Practice Address |
99 Tavern Rd Martinsburg WV 25401-2890 |
| Mailing Address |
Po Box 1067 Martinsburg WV 25402-1067 |
| Practice Telephone | 3042637023 |
| Practice Fax Number | 3042640508 |
| Mailing Telephone | 3042637023 |
| Mailing Fax Number | 3042640508 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | BP00943833 | WV | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 235 S Water St, Martinsburg, WV 254014241 | 3042638954 | 3042640763 |
| Street Address |
99 TAVERN RD |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617823 | Shenandoah Valley Medical System, Inc. | Clinic/Center | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2005-05-24 |
| 1699383414 | Kerry A Tucker | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-07-17 |
| 1134752785 | Scott Damon George | Social Worker | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-02-21 |
| 1942831748 | Victoria Ann Flynn | Social Worker | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-01-30 |
| 1770141202 | Sarah Dey | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2019-05-30 |
| 1730642737 | Tina Marie Malgarini Mawing | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2019-04-08 |
| 1518439934 | Sabrina Austin | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-12-24 |
| 1649765132 | Cara Beth Burker | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-06-27 |
| 1265933295 | April Marshall | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-02-26 |
| 1588164982 | Glenda Leanne Kay | Advanced Practice Midwife | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2018-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246714 | Bethany Christian Services of Wv | Social Worker | 101 Medical Ct Ste 100, Martinsburg, WV 25401-3854 | 2020-02-11 |
| 1255982898 | Paula Hoachalander | Social Worker | 353 Boyd Ave, Martinsburg, WV 25401-3419 | 2019-09-25 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1760843395 | Chasity Love Plaza | Social Worker | 1664 Winchester Ave Ste B, Martinsburg, WV 25405-3881 | 2016-03-09 |
| 1588082515 | Nicholas Trietsch | Social Worker | 142 N Queen St Ste 105, Martinsburg, WV 25401-3312 | 2014-04-07 |
| 1386993061 | Kathy A Jones | Social Worker | 1586a Winchester Ave, Martinsburg, WV 25405-5025 | 2012-09-10 |
| 1962718809 | Shannon Daras | Social Worker | 510 Butler Ave Rm 6b123, Martinsburg, WV 25405-9990 | 2010-08-30 |
| 1467781302 | Amy Theriault | Social Worker | 501 Butler Ave, 5b-134b, Martinsburg, WV 25405-9990 | 2009-12-23 |
| 1043313042 | William Peter Perks | Social Worker | 540 Teal Rd N, Martinsburg, WV 25405 | 2006-09-06 |
| 1134126147 | Stepping Stones Cottages, LLC | Social Worker | 124 N Maple Ave, Martinsburg, WV 25401-3326 | 2005-07-05 |
| Find all providers in MARTINSBURG | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.