Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathy Matlock Tidwell

Organization Clinical Social Worker · NPI 1669401311

Kathy Matlock Tidwell is a Clinical Social Worker in Boise, Idaho. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

5999 W State St
Boise, ID 83703-5059
Phone: (208) 853-5095
Fax: (208) 853-5125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1669401311
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Tidwell — Owner · (208) 853-5095
Other names Tidwell Social Work Services & Consulting
NPI enumeratedJuly 2, 2006
Last updated in NPPESJune 16, 2010
Mailing address5999 W State St, Boise, ID 83703-5059

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