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TIDWELL SOCIAL WORK SERVICES AND CONSULTING INC. NPI 1760891063


NPI Information

NPI: 1760891063
Provider Name: TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC.

Doing Business As: TIDWELL SOCIAL WORK SERVICES AND CONSULTING

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
5999 W STATE ST
BOISE, ID
ZIP 83703
Phone: (208) 853-5095
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TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC. is a clinical social worker in Boise, ID. The provider is 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 licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC. NPI is 1760891063. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tidwell Social Work Services And Consulting.

The provider's business location address is:

5999 W STATE ST
BOISE, ID
ZIP 83703-059
Phone: (208) 853-5095
Fax: (208) 853-5125

The provider's authorized official is Kathy M. Tidwell .
The authorized official title is President and has the following contact phone number (208) 853-5095.

The enumeration date for this NPI number is 8/12/2014 and was last updated on 8/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthIDAHONo
21041C0700XSocial WorkerClinicalIDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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