Individual provider · Type 1 NPI

Kathryn Davis Tidd

Clinical Social Worker · Moorhead, MN

NPI number 1285047738 Active

Practice location

815 37th Ave S
Moorhead, MN 56560-5524

Call (701) 451-4811 Map

Fax (651) 925-0057

Mailing address

PO Box 9859
Fargo, ND 58106-9859

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X28095 (MN)
Clinical Social Worker 1041C0700X5057 (ND)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1285047738

Kathryn Davis Tidd's National Provider Identifier is 1285047738, issued on Jun 3, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moorhead, MN. The record was last updated on Jan 21, 2021.