Individual provider · Type 1 NPI

Jasmyne Tidwell

Clinical Social Worker · Beaumont, CA

NPI number 1831433317 Active

Practice location

14700 Manzanita Park Road
Beaumont, CA 92223

Call (951) 845-3155 Map

Fax (951) 845-8412

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1831433317

Jasmyne Tidwell's National Provider Identifier is 1831433317, issued on Nov 21, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Beaumont, CA. The record was last updated on Nov 21, 2012.