Individual provider · Type 1 NPI

Austin Matthew Tisdale, LCSW

Clinical Social Worker · Little Rock, AR

NPI number 1508348319 Active

Practice location

2002 S Fillmore St
Little Rock, AR 72204-4909

Mailing address

4919 Lakeview Rd
North Little Rock, AR 72116-6726

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8815-C (AR)

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 1508348319

Austin Matthew Tisdale, LCSW's National Provider Identifier is 1508348319, issued on Aug 29, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Little Rock, AR. The record was last updated on Oct 6, 2026.