Individual provider · Type 1 NPI

Benjamin L. Tidwell, LCSW, CCDP-DIPLOMATE

Clinical Social Worker · Riverview, FL

NPI number 1861407520 Active

Practice location

5905 US 301 S
Riverview, FL 33578-3800

Call (866) 389-2727 Map

Mailing address

35 Goff St
Vilonia, AR 72173-9315

Other practice locations

  • 502 Richie Rd, Cabot, AR 72023-3309 · (501) 941-0940

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1283C (AR)

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…

4 other providers at this address

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About NPI 1861407520

Benjamin L. Tidwell, LCSW, CCDP-DIPLOMATE's National Provider Identifier is 1861407520, issued on Jul 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverview, FL. The record was last updated on Aug 11, 2021.