Organization
KATHY MATLOCK TIDWELL
Active
Other names
Tidwell Social Work Services & Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY TIDWELL LCSW (OWNER)
(208) 853-5095
Entity
Organization
Contact information
Practice address
5999 W STATE ST, BOISE, ID 83703-5059
(208) 853-5095
(208) 853-5125
Mailing address
5999 W STATE ST, BOISE, ID 83703-5059
(208) 853-5095
(208) 853-5125
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806014000
—
ID
Enumeration date
07/02/2006
Last updated
06/16/2010
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