Shirlene Elledge, LMSW

NPI 1184057093 · on the registry since 2013 · sole proprietor

Practice

Address: 5999 W State St
Boise, ID 83703
Phone: (208) 571-9884
Organisation at this address: Kathy Matlock Tidwell
Tidwell Social Work Services And Consulting, Inc.
Tidwell Social Work Services And Consulting, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Social Worker
104100000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho