TIDWELL SOCIAL WORK SERVICES AND CONSULTING
NPI 1124476858
Community/Behavioral Health in Boise, ID

Active since June 03, 2016
5999 W. STATE ST., 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: August 16, 2026.

Record update history: Sep 16, 2019, Jul 3, 2019 (2 updates tracked since 2019).

About Tidwell Social Work Services And Consulting NPPES

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

TIDWELL SOCIAL WORK SERVICES AND CONSULTING (NPI 1124476858) is a healthcare organization registered as a community/behavioral health in Boise, Idaho and active in the NPI registry since June 2016. The organization lists Kathy Matlock Tidwell, Clinic Supervisor, as its authorized official.

NPPES Registry Identity

NPI1124476858
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameTIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC.
Location Address5999 W. STATE ST.Boise, ID 83703
Mailing Address7285 W Franklin RdBoise, ID 83709-0926 · (208) 853-5095 · Fax (208) 853-5125
Fax(208) 853-5125
Organization SubpartNo
Authorized OfficialKathy Matlock TidwellClinic Supervisor · (208) 853-6649
Enumeration DateJune 3, 2016
Last NPPES UpdateSeptember 16, 20192 updates tracked since enumeration
NPI 1124476858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in ID · LPC-6143
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
5999 W. STATE ST., Boise, ID 83703

Other Names 1

Other NameTidwell Social Work Services And Consulting

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 Tidwell Social Work Services And Consulting, Inc.'s NPI number?

The NPI number for Tidwell Social Work Services And Consulting, Inc. is 1124476858. It was assigned to this organization in the NPPES registry on June 3, 2016. The provider is also known as Tidwell Social Work Services And Consulting.

Where is Tidwell Social Work Services And Consulting, Inc. located?

Tidwell Social Work Services And Consulting, Inc. is located at 5999 W. State St., Boise, ID 83703. The listed phone number is (208) 853-5095.

What is Tidwell Social Work Services And Consulting, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Tidwell Social Work Services And Consulting, Inc. 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.