Organization · Type 2 NPI

Kathy Matlock Tidwell

Clinical Social Worker · Boise, ID

NPI number 1669401311 Active

Practice location

5999 W State St
Boise, ID 83703-5059

Fax (208) 853-5125

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed

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…

14 other providers at this address

Other clinical social worker providers in Boise

See all in Boise →

About NPI 1669401311

Kathy Matlock Tidwell's National Provider Identifier is 1669401311, issued on Jul 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boise, ID. The record was last updated on Jun 16, 2010.