Individual
DAN TADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6426 KOOTENAI STREET, SUITE 103, BONNERS FERRY, ID 83805-5005
(208) 291-1516
Mailing address
PO BOX 1014, BONNERS FERRY, ID 83805-1014
(208) 255-9460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-29379
ID
Other
Enumeration date
12/15/2011
Last updated
03/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us