Kenneth Dale Widick, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-31550 Issued in ID

Practice address

305 E 37TH St
Garden City, ID 83714-6419

Phone

(208) 331-0900

Fax

(208) 331-0904

NPI assigned

Jul 14, 2026

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Supportive Housing and Innovative Partnerships

  • Community/Behavioral Health Agency
  • Garden City, ID
  • NPI 1336901560
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1538088331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8803",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837072803",
            "telephone_number": "208-412-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 37TH ST",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837146419",
            "telephone_number": "208-331-0900",
            "fax_number": "208-331-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDICK",
        "first_name": "KENNETH",
        "middle_name": "DALE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-31550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Welch
• Bree Danielle Wells
• Jennifer Weseman, LCPC
• Lindsay Merle Westerman, APRN, CPNP-AC/PC
• Elizabeth B Whitman, NP
• Donna Maxine Williams, LPC
• Woven Care Wellness
• Stacey Kay Wright, NP
• Jennifer L Zielinski

• Social Worker in Garden City, ID
• Providers in Garden City, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.