Individual provider · Type 1 NPI

Owen Tidwell, LICSW

Counselor · Fall River, MA

NPI number 1730756800 Active

Practice location

261 Mount Pleasant St
Fall River, MA 02720-4317

Call (774) 309-1819 Map

Mailing address

661 Drift Rd
Westport, MA 02790-1235

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X224258 (MA)
Counselor Primary 101Y00000X124273 (MA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1730756800

Owen Tidwell, LICSW's National Provider Identifier is 1730756800, issued on Jun 8, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fall River, MA. The record was last updated on Jun 17, 2025.