TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC. (NPI# 1124476858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124476858 |
Entity Type | Organization |
Organization Name | TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC. |
Other Organization Name | TIDWELL SOCIAL WORK SERVICES AND CONSULTING |
Practice Address |
5999 W. State St. Boise ID 83703 |
Mailing Address |
7285 W Franklin Rd Boise ID 83709-0926 |
Practice Telephone | 2088535095 |
Practice Fax Number | 2088535125 |
Mailing Telephone | 2088535095 |
Mailing Fax Number | 2088535125 |
Enumeration Date | 2016-06-03 |
Last Update Date | 2019-09-16 |
Authorized Official Name | KATHY MATLOCK TIDWELL (CLINIC SUPERVISOR) |
Authorized Official Telephone | 2088536649 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | LPC-6143 | ID | Agencies |
Other Name | Type Code |
---|---|
Tidwell Social Work Services and Consulting | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760891063 | Tidwell Social Work Services and Consulting, Inc. | Counselor | 5999 W State St, Boise, ID 83703-5059 | 2014-08-12 |
Street Address |
5999 W. STATE ST. |
City | BOISE |
State | ID |
Zip Code | 83703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386203974 | Dylan Roy | Chiropractor | 5632 W State Street, Boise, ID 83703 | 2019-06-07 |
1801251244 | Rebecca Lynn Cushing | Massage Therapist | 5909 W. State St, Boise, ID 83703 | 2015-12-30 |
1790181675 | Malinda Poe | Counselor | 4440 W Taft St, Boise, ID 83703 | 2014-11-05 |
1689079469 | Ashley Harker | Massage Therapist | 5909 W. State St., Boise, ID 83703 | 2014-10-23 |
1770987844 | Brick House Recovery | Counselor | 3663 N Lakeharbor Ln, Boise, ID 83703 | 2014-10-17 |
1033512538 | Ryan Warburton | Physical Therapist | 2999 N Lakeshore Lane, Ste 120, Boise, ID 83703 | 2014-09-29 |
1710386008 | Suzanne Iannaccone | Social Worker | 4090 W State St Ste 221, Boise, ID 83703 | 2014-08-22 |
1588092464 | Becky L. Marks | Social Worker | 3858 N. Garden Center Way, Suite 204, Boise, ID 83703 | 2013-10-31 |
1700219169 | Pohley Richey | Dietitian, Registered | 6052 W State Street, Boise, ID 83703 | 2013-08-20 |
1023392636 | Nancy Lynn Tate | Physician Assistant | 3668 North Lake Harbor Ln, Boise, ID 83703 | 2011-09-30 |
Find all providers in zip 83703 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
1245854454 | Ken Wells Counseling | Community/Behavioral Health | 6654 E Bend Ridge St, Boise, ID 83716-5623 | 2020-06-03 |
1083236079 | Nakale Ball | Community/Behavioral Health | 3861 N Maple Grove Rd, Boise, ID 83704-4227 | 2020-05-12 |
1043859002 | Kacey E Mueller | Community/Behavioral Health | 688 N Avenue H Apt 304, Boise, ID 83712-6471 | 2019-12-22 |
1407499270 | Acceptance Counseling Services | Community/Behavioral Health | 5440 W Franklin Rd Ste 200, Boise, ID 83705-6434 | 2019-10-23 |
1154817021 | Hand In Hand | Community/Behavioral Health | 1830 W Airport Way, Boise, ID 83705-5101 | 2018-07-03 |
1982126264 | Brc Mental Health Services | Community/Behavioral Health | 963 S Orchard St Ste 103, Boise, ID 83705-1917 | 2017-07-08 |
1689109613 | Mrl Counseling LLC | Community/Behavioral Health | 9442 W Fairview Ave, Boise, ID 83704-8101 | 2017-04-27 |
1639601636 | Family Connection, Inc. | Community/Behavioral Health | 7154 W State St # 278, Boise, ID 83714-7421 | 2017-03-29 |
1164964045 | Jaimie Cain LLC | Community/Behavioral Health | 2210 N 31st St, Boise, ID 83703-5626 | 2016-11-09 |
Find all providers in BOISE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.