ALISON NICOLE RIDER (LCSW) – Social Worker, NPI 1053989947

ALISON NICOLE RIDER (LCSW) is a healthcare provider. based in Pocatello, Idaho. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. LCSW-45390 (ID). The NPI Number for ALISON NICOLE RIDER (LCSW) is 1053989947

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ALISON NICOLE RIDER (LCSW)
NPI
1053989947
Phone
(208) 251-4776
Address
1056 S 4TH AVE APT 4
Enumeration Date
16 June 2021
Last Update Date
27 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082423771
Graduation Year
2021 (5 years ago)
PAC ID
3870023757
Group Practice PAC ID
3870776610
Professional Enrollment ID
I20250206003015
Address ID
ID832016369PO151XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

633 CLINICAL SOCIAL WORKER in ID

Provider Addresses for ALISON NICOLE RIDER (LCSW)

  • 1056 S 4TH AVE APT 4

    POCATELLO, ID 832016666

    Phone: (208) 251-4776

    Type: Mailing

  • 109 N ARTHUR AVE STE 203

    POCATELLO, ID 832043105

    Phone: (208) 234-4673

    Type: Location

  • 346 W LOVEJOY ST APT 7

    POCATELLO, ID 832043462

    Phone: (208) 251-4776

    Type: Mailing

  • 151 N 3RD AVE STE 330

    POCATELLO, ID 832016369

    Phone: (208) 242-3771

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250206003015IClinical Social WorkerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870776610View full group profile
NameSpecialtyState
Clinical Social WorkerID
Clinical Social WorkerID
Clinical Social WorkerID
Clinical Social WorkerID

Reviews

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Frequently asked questions

How do payers reference ALISON NICOLE RIDER (LCSW)?
For ALISON NICOLE RIDER (LCSW), use NPI 1053989947 as the unique 10-digit identifier.
Would ALISON NICOLE RIDER (LCSW) appear as active to a payer?
You can treat ALISON NICOLE RIDER (LCSW) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ALISON NICOLE RIDER (LCSW)?
ALISON NICOLE RIDER (LCSW) is associated with Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Where in Idaho is ALISON NICOLE RIDER (LCSW) registered?
Use Pocatello, Idaho as the headline location for ALISON NICOLE RIDER (LCSW) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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