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Contact Information

TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC.
5999 W. STATE ST.
BOISE, ID83703
 Phone: 208-853-5095
 Fax: 208-853-5125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC.

NPI # 1124476858
LBN Legal business name TIDWELL SOCIAL WORK SERVICES AND CONSULTING, INC.
Authorized official KATHY TIDWELL - (CLINIC SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/03/2016
Last updated 09/16/2019 - About 7 years ago
Identifiers
ID License # LPC-6143
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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