OrganizationActive
Kathy Matlock Tidwell
NPI 1669401311 · Clinical Social Worker · Boise, ID
Kathy Matlock Tidwell is a Clinical Social Worker organization in Boise, ID (NPI 1669401311).
Provider details
- NPI number
- 1669401311
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kathy Tidwell, Owner(208) 853-5095
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 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
Boise, ID 83703-5059
Phone: (208) 853-5095
Fax: (208) 853-5125
Street-level locationGet directions
Mailing address
5999 W State St
Boise, ID 83703-5059
Other names (DBA / former)
- Doing business as
- Tidwell Social Work Services & Consulting
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2010-06-16
Frequently asked questions
- What is Kathy Matlock Tidwell's NPI number?
- Kathy Matlock Tidwell's National Provider Identifier (NPI) is 1669401311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kathy Matlock Tidwell?
- Kathy Matlock Tidwell is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kathy Matlock Tidwell located?
- Kathy Matlock Tidwell's practice location on file with NPPES is 5999 W State St, Boise, ID 83703-5059.
- What is Kathy Matlock Tidwell's phone number?
- The practice phone number listed in the NPPES registry for Kathy Matlock Tidwell is (208) 853-5095.
- Who is the authorized official for Kathy Matlock Tidwell?
- The authorized official listed on Kathy Matlock Tidwell's NPPES record is Kathy Tidwell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kathy Matlock Tidwell's NPI active?
- Yes — Kathy Matlock Tidwell's NPI (1669401311) is active in the NPPES registry as of the last update on 2010-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.