Tidwell Social Work Services & Consulting

LBN: Kathy Matlock Tidwell
Tidwell Social Work Services & Consulting is an health care organization with primary practice located at 5999 W State St , Boise ID 83703-5059. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Kathy Matlock Tidwell can be contacted via phone (208) 853-5095, or through Tidwell, Kathy via phone (208) 853-5095.

Contact Information

Primary practice address
5999 W State St Boise ID 83703-5059
Phone: (208) 853-5095
Fax: (208) 853-5125
Website:
Map and Directions
Authorized official contact:
Name: Tidwell, Kathy Licensed Clinical Social Worker (LCSW)
Phone: (208) 853-5095

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1669401311
LBN Legal business name Kathy Matlock Tidwell
DBA Doing business as Tidwell Social Work Services & Consulting
Authorized official Tidwell, Kathy Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Jun 16th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669401311 NPPES
Idaho MEDICAID 806014000

Popular Providers