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Kathy Tidwell, LCSW
NPI 1083767131 · Clinical Social Worker · Boise, ID
Kathy Tidwell, LCSW is a Clinical Social Worker provider in Boise, ID (NPI 1083767131).
Provider details
- NPI number
- 1083767131
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- LCSW 858 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5999 W State St Ste B
Boise, ID 83703-3039
Phone: (208) 853-5095
Fax: (208) 853-5125
Street-level locationGet directions
Mailing address
7285 W Franklin Rd
Boise, ID 83709-0926
Registry dates
- Enumerated
- 2007-01-20
- Last updated
- 2019-09-16
Frequently asked questions
- What is Kathy Tidwell's NPI number?
- Kathy Tidwell's National Provider Identifier (NPI) is 1083767131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathy Tidwell's specialty?
- Kathy Tidwell is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kathy Tidwell located?
- Kathy Tidwell's practice location on file with NPPES is 5999 W State St Ste B, Boise, ID 83703-3039.
- What is Kathy Tidwell's phone number?
- The practice phone number listed in the NPPES registry for Kathy Tidwell is (208) 853-5095.
- Is Kathy Tidwell's NPI active?
- Yes — Kathy Tidwell's NPI (1083767131) is active in the NPPES registry as of the last update on 2019-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.