1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Social Worker
  6. NPI Profile

MS. KATHY MATLOCK TIDWELL LCSW
NPI 1083767131
Social Worker - Clinical in Boise, ID

Active since January 20, 2007
5999 W STATE ST STE B, BOISE, ID 83703(208) 853-5095(208) 853-5125 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2019, Jul 2, 2019 (2 updates tracked since 2019).

About Ms. Kathy Matlock Tidwell Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHY MATLOCK TIDWELL LCSW (NPI 1083767131) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW 858) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1083767131
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATHY MATLOCK TIDWELLCredential: LCSW
Location Address5999 W STATE ST STE BBoise, ID 83703-3039
Mailing Address7285 W Franklin RdBoise, ID 83709-0926 · (208) 853-5095 · Fax (208) 853-5125
Phone(208) 853-5095
Fax(208) 853-5125
Sole ProprietorNo
Enumeration DateJanuary 20, 2007
Last NPPES UpdateSeptember 16, 20192 updates tracked since enumeration
✔ NPI 1083767131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · LCSW 858
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5999 W STATE ST STE B, Boise, ID 83703
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KODI CATANIA HIRST LCSW
Social Worker (Clinical)
5999 W STATE ST STE B
BOISE, ID 83703
Ada County (208) 853-5095
COTTONWOOD FAMILY MEDICINE PLLC
Family Medicine
5999 W STATE ST STE B
GARDEN CITY, ID 83703
Ada County (208) 995-2875
MRS. SUSAN PATRICIA HARRELL LMFT
Marriage & Family Therapist
5999 W STATE ST STE B
BOISE, ID 83703
Ada County (208) 853-5095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Tidwell's NPI number?

The NPI number for Kathy Tidwell is 1083767131. It was assigned to this individual provider in the NPPES registry on January 20, 2007.

Where is Kathy Tidwell located?

Kathy Tidwell practices at 5999 W State St Ste B, Boise, ID 83703. The listed phone number is (208) 853-5095.

What is Kathy Tidwell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kathy Tidwell was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.