P Praxis·MD
● Active Type 2 · Organization

Kathy Matlock Tidwell

Social Worker·Boise, ID· NPI 1669401311 · Enumerated 2006 · 19 years on NPI
Kathy Matlock Tidwell is 1 of 2000 social worker organizations in Idaho.
NPI age
19 years
Enumerated 2006-07-02
Primary specialty
Social Worker
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tidwell
Owner
Last NPPES update
2010-06-16
Source: monthly bulk 2026-05

How this organization compares

Across 2000 active social worker providers in Idaho.

NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
5999 W State St
Boise, ID 837035059
📞 2088535095fax 2088535125
Mailing address
5999 W State St
Boise, ID 837035059
📞 2088535095fax 2088535125

Authorized official

Kathy Tidwell, LCSW
Owner
📞 2088535095

Individual providers at this organization

10 individual providers on file at this primary practice address.

Specialties

  • Social Worker Primary
    A 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...
    taxonomy 1041C0700X

Identifiers

TypeValueNotes
05 (ID) 806014000

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Tidwell Social Work Services & Consulting
    Type code 3 recorded 2010-06-16

Practice context

Multi-provider organization. 10 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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