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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL ALLEN IDE, LSW

Active Sole Proprietor

Social Worker · KINGSTON, PA

Registration Details

NPI Number
1134387897
Provider Type
Individual
Gender
Male
NPI Issued
May 29, 2008 (17.915774335242 yrs)
Last Updated
Aug 17, 2017
License
SW129791 (PA)
Sole Proprietor
Yes

Practice Information

Address
562 WYOMING AVENUE
CHOICES
KINGSTON, PA, 18704
Browse PA providers · Browse ZIP 18704
Phone
5705523700
Fax
5705523705
Primary Specialty
Social Worker
104100000X
Additional Specialty
Social Worker

Other Social Worker Providers in KINGSTON, PA

Name Credential NPI
MRS. KAREN BENJAMIN LSW 1659344497
VANESSA DURLAND LSW 1962974394
CATHERINE DOUGLAS LSW 1982257887
JAMIE JUDGE LSW 1649881665
CHERYL RITTFELDT 1457968117
ALLISON KLEINMAN LSW 1023696747
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.