Individual provider · Type 1 NPI

Tamara Jo Tridle, LCSW

Clinical Social Worker · Port Charlotte, FL

NPI number 1619612439 Active

Practice location

1777 Tamiami Trl
Port Charlotte, FL 33948-1078

Mailing address

25443 Estrada Circle
Punta Gorda, FL 33955

Other practice locations

  • 79 Purus St, Punta Gorda, FL 33983-4227 · (402) 217-5555

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW19901 (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 1619612439

Tamara Jo Tridle, LCSW's National Provider Identifier is 1619612439, issued on May 5, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Charlotte, FL. The record was last updated on Nov 25, 2022.