Individual provider · Type 1 NPI

Alexis Tidball, ASW

Clinical Social Worker · Modesto, CA

NPI number 1669085296 Active

Practice location

121 Downey Ave
Modesto, CA 95354-1208

Call (209) 341-1824 Map

Mailing address

1438 E J St
Oakdale, CA 95361-8862

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700X98746 (CA)

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 1669085296

Alexis Tidball, ASW's National Provider Identifier is 1669085296, issued on Aug 24, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Modesto, CA. The record was last updated on Jul 15, 2024.