IndividualActive
Kimberly Moffat
NPI 1548121908 · Social Worker · Ammon, ID
Provider details
- NPI number
- 1548121908
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2705 E 17th St
Ammon, ID 83406-6669
Phone: (208) 346-7500
Street-level locationGet directions
Mailing address
3550 Hawthorne Rd
Pocatello, ID 83201-6015
Registry dates
- Enumerated
- 2025-11-24
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.