NPI age
14 years
Enumerated 2011-12-15
● Active
Type 1 · Individual
Dan Tadlock, LCSW
Tadlock is 1 of 16 social worker providers in Bonners Ferry and 1 of 2000 in Idaho.
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2000 active social worker providers in Idaho.
NPI age
14 years
↑ 4 yr above median (10 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Practice location
6426 Kootenai Street, Suite 103
Bonners Ferry, ID 838055005
Mailing address
Po Box 1014
Bonners Ferry, ID 838051014
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4750 N Five Mile Rd
Boise, ID 837132715
Specialties
-
Social Worker PrimaryA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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