TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC.


Address: 5999 W. State St., Boise, ID 83703
Phone: 2088535095

TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC. (NPI# 1124476858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124476858
Entity Type Organization
Organization Name TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC.
Other Organization Name TIDWELL SOCIAL WORK SERVICES AND CONSULTING
Practice Address 5999 W. State St.
Boise
ID 83703
Mailing Address 7285 W Franklin Rd
Boise
ID 83709-0926
Practice Telephone 2088535095
Practice Fax Number 2088535125
Mailing Telephone 2088535095
Mailing Fax Number 2088535125
Enumeration Date 2016-06-03
Last Update Date 2019-09-16
Authorized Official Name KATHY MATLOCK TIDWELL (CLINIC SUPERVISOR)
Authorized Official Telephone 2088536649
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health LPC-6143 ID Agencies

Other Provider/Organization Names

Other Name Type Code
Tidwell Social Work Services and Consulting Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1760891063 Tidwell Social Work Services and Consulting, Inc. Counselor 5999 W State St, Boise, ID 83703-5059 2014-08-12

Office Location

Street Address 5999 W. STATE ST.
City BOISE
State ID
Zip Code 83703

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386203974 Dylan Roy Chiropractor 5632 W State Street, Boise, ID 83703 2019-06-07
1801251244 Rebecca Lynn Cushing Massage Therapist 5909 W. State St, Boise, ID 83703 2015-12-30
1790181675 Malinda Poe Counselor 4440 W Taft St, Boise, ID 83703 2014-11-05
1689079469 Ashley Harker Massage Therapist 5909 W. State St., Boise, ID 83703 2014-10-23
1770987844 Brick House Recovery Counselor 3663 N Lakeharbor Ln, Boise, ID 83703 2014-10-17
1033512538 Ryan Warburton Physical Therapist 2999 N Lakeshore Lane, Ste 120, Boise, ID 83703 2014-09-29
1710386008 Suzanne Iannaccone Social Worker 4090 W State St Ste 221, Boise, ID 83703 2014-08-22
1588092464 Becky L. Marks Social Worker 3858 N. Garden Center Way, Suite 204, Boise, ID 83703 2013-10-31
1700219169 Pohley Richey Dietitian, Registered 6052 W State Street, Boise, ID 83703 2013-08-20
1023392636 Nancy Lynn Tate Physician Assistant 3668 North Lake Harbor Ln, Boise, ID 83703 2011-09-30
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053938779 Halo Health Services LLC Community/Behavioral Health 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 2020-06-29
1245854454 Ken Wells Counseling Community/Behavioral Health 6654 E Bend Ridge St, Boise, ID 83716-5623 2020-06-03
1083236079 Nakale Ball Community/Behavioral Health 3861 N Maple Grove Rd, Boise, ID 83704-4227 2020-05-12
1043859002 Kacey E Mueller Community/Behavioral Health 688 N Avenue H Apt 304, Boise, ID 83712-6471 2019-12-22
1407499270 Acceptance Counseling Services Community/Behavioral Health 5440 W Franklin Rd Ste 200, Boise, ID 83705-6434 2019-10-23
1154817021 Hand In Hand Community/Behavioral Health 1830 W Airport Way, Boise, ID 83705-5101 2018-07-03
1982126264 Brc Mental Health Services Community/Behavioral Health 963 S Orchard St Ste 103, Boise, ID 83705-1917 2017-07-08
1689109613 Mrl Counseling LLC Community/Behavioral Health 9442 W Fairview Ave, Boise, ID 83704-8101 2017-04-27
1639601636 Family Connection, Inc. Community/Behavioral Health 7154 W State St # 278, Boise, ID 83714-7421 2017-03-29
1164964045 Jaimie Cain LLC Community/Behavioral Health 2210 N 31st St, Boise, ID 83703-5626 2016-11-09
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Competitor

Search similar providers

City BOISE
Zip Code 83703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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