Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Cordero

Individual provider Social Worker · NPI 1558817981

Kimberly Cordero is a Clinical Social Worker in Eagle, Idaho. Qualified in 2006, 20 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
20
Licensed in
ID
In the registry since
2016
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Practice location Address checks out

533 E Riverside Dr Ste 120
Eagle, ID 83616-6585
Phone: (208) 906-3644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LMSW-28608 (ID)

Record details

NPI number1558817981
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2016
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025
Mailing address13213 N Dechambeau Way, Boise, ID 83714-9429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eagle