Individual provider · Type 1 NPI
Stacey Tidwell, LCSW
School Social Worker · Stockton, CA
NPI number
1790189413
Active
Practice location
3311 Morada Ln
Stockton, CA 95212-3148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | None listed |
School Social Worker: Definition to come...
Other school social worker providers in Stockton
About NPI 1790189413
Stacey Tidwell, LCSW's National Provider Identifier is 1790189413, issued on Oct 9, 2014. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Stockton, CA. The record was last updated on Dec 30, 2021.