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

Tina Michele Martindale, LCSW

Individual provider Social Worker · NPI 1407221690

Tina Michele Martindale, LCSW is a Social Worker in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2015
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

11407 W Reutzel Dr
Boise, ID 83709-4404
Phone: (208) 866-7059
Fax: (208) 375-9232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LMSW-35315 (ID)

Record details

NPI number1407221690
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 14, 2015
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

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