Individual provider · Type 1 NPI

Samuel Alastair Tisdale, LICSW

Clinical Social Worker · Springfield, MA

NPI number 1437873353 Active

Practice location

759 Chestnut St
Springfield, MA 01199-0001

Call (413) 794-0000 Map

Mailing address

20 Coleman Rd
Southampton, MA 01073-9492

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X125285 (MA)

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 1437873353

Samuel Alastair Tisdale, LICSW's National Provider Identifier is 1437873353, issued on Oct 4, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Springfield, MA. The record was last updated on Sep 7, 2026.