Dianisha Denise Kidd, is a
Social Worker based in Oakland, California. Dianisha Denise Kidd is licensed to practice in California (license number 106076) and her current practice location is
5751 Adeline St, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 236-0044.
NPI number for Dianisha Denise Kidd is 1851869333 and her current mailing address is 4892 San Pablo Dam Rd, El Sobrante, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851869333.
Healthcare Provider's Profile
| Full Name | Dianisha Denise Kidd |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 5751 Adeline St, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1851869333
- Provider Enumeration Date: 11/02/2018
- Last Update Date: 06/18/2024
Medical Identifiers
Medical identifiers for Dianisha Denise Kidd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851869333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 106076 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dianisha Denise Kidd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dianisha Denise Kidd,
4892 San Pablo Dam Rd,
El Sobrante, CA 94803-3222
Ph: () - | Dianisha Denise Kidd,
5751 Adeline St,
Oakland, CA 94608-2815
Ph: (510) 236-0044 |
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