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

MS. Kathy Matlock Tidwell, LCSW

Individual provider Clinical Social Worker · NPI 1083767131

MS. Kathy Matlock Tidwell, LCSW is a Clinical Social Worker in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5999 W State St Ste B
Boise, ID 83703-3039
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 · Licence LCSW 858 (ID)

Record details

NPI number1083767131
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 20, 2007
Last updated in NPPESSeptember 16, 2019

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