Individual provider · Type 1 NPI
Derrell R. Tidwell, LCSW
Clinical Social Worker · Port Townsend, WA
Practice location
432 30th Street
Port Townsend, WA 98368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 9609 (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 1871661074
Derrell R. Tidwell, LCSW's National Provider Identifier is 1871661074, issued on Dec 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Townsend, WA. The record was last updated on Feb 14, 2024.