MR. MICHAEL ALLEN IDE LSW NPI 1134387897

NPI Information

  • NPI: 1134387897
  • Provider Name: MR. MICHAEL ALLEN IDE, LSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 562 WYOMING AVENUE
    CHOICES
    KINGSTON, PA
    ZIP 18704
  • Phone: (570) 552-3700

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NPI Details

MR. Michael Allen Ide, LSW is a social worker in Kingston, PA. The provider is 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. MR. Michael Allen Ide, LSW NPI is 1134387897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

562 WYOMING AVENUE
CHOICES
KINGSTON, PA
ZIP 18704
Phone: (570) 552-3700
Fax: (570) 552-3705

The enumeration date for this NPI number is 5/29/2008 and was last updated on 8/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2104100000XSocial WorkerSW129791PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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