MEDICARE: MADDIE LIDDIARD LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	36771	ID

General Provider Information

NPI Number	:	1285141119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADDIE LIDDIARD LMSW

Provider Business Mailing Address
First Line	:	175 E HAWTHORN PKWY STE 235
Second Line	:
City	:	VERNON HILLS
State	:	IL
Zip	:	60061-1454
Country	:	US
Telephone Number	:	847-737-8768
Fax Number	:	847-859-5885

Provider Business Practice Location Address
First Line	:	1859 S TOPAZ WAY STE 100
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83642-4401
Country	:	US
Telephone Number	:	208-209-2432
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2017
Last Update Date	:	12/30/2017

Similar Medicare Providers

1265414544 — KERRIE L PETECH R.N. ARNP-CNP
Practice Location Address:

1859 S TOPAZ WAY STE 100
MERIDIAN, ID
83642-4401

Practice Phone: 208-209-2432
Practice Fax:

1194065730 — RUSSELL BOLTON HARMONY NP
Practice Location Address:

1859 S TOPAZ WAY STE 106
MERIDIAN, ID
83642-4401

Practice Phone: 208-672-4640
Practice Fax: 208-957-6300

1194105395 — HEATHER HAINSTOCK PSY.D.
Practice Location Address:

1859 S TOPAZ WAY STE 100
MERIDIAN, ID
83642-4401

Practice Phone: 208-209-2432
Practice Fax: 847-859-5885

1306291836 — IDAHO SPINE & PAIN PLLC
Practice Location Address:

1859 S TOPAZ WAY STE 106
MERIDIAN, ID
83642-4401

Practice Phone: 208-672-4640
Practice Fax: 208-957-6300

1144778309 — MRS. CIERRA NICOLE NEIWERT RDN
Practice Location Address:

1859 S TOPAZ WAY STE 100
MERIDIAN, ID
83642-4401

Practice Phone: 208-209-2432
Practice Fax: 848-859-5885

1740797125 — JENNA CAYWOOD LMSW
Practice Location Address:

1859 S TOPAZ WAY STE 100
MERIDIAN, ID
83642-4401

Practice Phone: 208-209-2432
Practice Fax: 847-859-5885

Directions to “ MADDIE LIDDIARD LMSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.