Individual provider · Type 1 NPI
Kathy Matlock Tidwell, LCSW
Clinical Social Worker · Boise, ID
Practice location
5999 W State St Ste B
Boise, ID 83703-3039
Fax (208) 853-5125
Mailing address
7285 W Franklin Rd
Boise, ID 83709-0926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW 858 (ID) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
3 other providers at this address
Other clinical social worker providers in Boise
- Kristie Kaes, LCSWClinical Social Worker Boise, ID NPI 1003278524
- Jenny Crow, LMSW, RPTClinical Social Worker Boise, ID NPI 1003370958
- John Bradford Hunt, LCSWClinical Social Worker Boise, ID NPI 1003407404
- Rachel Jessen, LCSWClinical Social Worker Boise, ID NPI 1013094309
- Tom C. Ahlrichs, LCSWClinical Social Worker Boise, ID NPI 1013135078
- Amy Niblock Balzer, LCSWClinical Social Worker Boise, ID NPI 1013379536
- Sylvia Oh, L.C.S.W.Clinical Social Worker Boise, ID NPI 1013533231
- Kathleen Windom, LCSW, MSWClinical Social Worker Boise, ID NPI 1013551613
About NPI 1083767131
Kathy Matlock Tidwell, LCSW's National Provider Identifier is 1083767131, issued on Jan 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Sep 16, 2019.