Individual provider · Type 1 NPI
Lorisa Dawn Tidwell, LCSW
Clinical Social Worker · Oklahoma City, OK
Practice location
2632 Lynn Ln
Oklahoma City, OK 73120-1702
Mailing address
247 Cumberland Ln
Ardmore, OK 73401-7568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 4407 (OK) |
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 1609213446
Lorisa Dawn Tidwell, LCSW's National Provider Identifier is 1609213446, issued on Jun 3, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 9, 2015.