Individual provider · Type 1 NPI

Heather Tidwell, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1639504194 Active

Practice location

7810 Pineville Matthews Rd Ste 5
Charlotte, NC 28226-5300

Call (201) 906-1025 Map

Mailing address

424 Esther Ct
Fort Mill, SC 29708-5707

Other practice locations

515 Clanton Rd, Charlotte, NC 28217-1309 · (704) 332-9001
1810 Back Creek Dr, Charlotte, NC 28213 · (704) 206-2342

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	A22125 (NC)
Clinical Social Worker	1041C0700X	ASW36503 (CA)
Clinical Social Worker Primary	1041C0700X	C10190 (NC)

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 1639504194

Heather Tidwell, LCSW's National Provider Identifier is 1639504194, issued on Sep 3, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on May 18, 2020.