Tidwell Social Work Services and Consulting, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC.

Doing business as

Tidwell Social Work Services and Consulting

Practice address

5999 W State St
Boise, ID 83703-5059

Phone

(208) 853-5095

Fax

(208) 853-5125

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Kathy M. Tidwell, LCSW

Title

President

Phone

(208) 853-5095

Specialties & licenses 2

Addresses

Other names 1

• Tidwell Social Work Services and Consulting Doing business as

Locations

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1760891063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035059",
            "telephone_number": "208-853-5095",
            "fax_number": "208-853-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035059",
            "telephone_number": "208-853-5095",
            "fax_number": "208-853-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-853-5095",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tidwell Social Work Services and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Thurston, AUD
• Jeremiah Lee Tibbitts, DC
• Brook Rose Tiddens, CNM
• Tides Treatment Services
• Tidwell Social Work Services and Consulting, Inc.
• Kathy Matlock Tidwell, LCSW
• Kathleen Tierney, NP
• Quinn Tierney, LCSW
• Shannon Marie Tierney, MD
• Andrew Tietjen, FNP

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.