Individual provider · Type 1 NPI

Herbert Taylor Tisdale Iii, SOCIAL WORKER

Clinical Social Worker · Ruskin, FL

NPI number 1306559380 Active

Practice location

2814 14th Ave SE
Ruskin, FL 33570-5471

Mailing address

7609 Paradiso Dr
Apollo Beach, FL 33572-1644

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW20228 (FL)

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 1306559380

Herbert Taylor Tisdale Iii, SOCIAL WORKER's National Provider Identifier is 1306559380, issued on Jan 4, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ruskin, FL. The record was last updated on Jan 4, 2023.