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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. HERBERT TAYLOR TISDALE III, SOCIAL WORKER

Active Sole Proprietor

MR. HERBERT TAYLOR TISDALE III, SOCIAL WORKER is a Clinical Social Worker healthcare provider located in RUSKIN, Florida. NPI 1306559380 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · RUSKIN, FL

Registration Details

NPI Number
1306559380
Provider Type
Individual
Gender
Male
NPI Issued
Jan 4, 2023 (3.5680334047576 yrs)
Last Updated
Jan 4, 2023
License
SW20228 (FL)
Sole Proprietor
Yes

Practice Information

Address
2814 14TH AVE SE
RUSKIN, FL, 335705471
Browse FL providers · Browse ZIP 33570
Phone
8136536100
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in RUSKIN, FL

Name Credential NPI
MRS. CLAUDIA JANE DODRILL LCSW 1437298692
MS. RACQUEL NICOLA FINDLAY L.C.S.W. 1629222351
NICHOLE WHITE COYNE LCSW 1003252529
ALEXIS IONA HAYNES LICSW 1295130052
TANYA JEANNE JOHNSON-GILCHRIST LCSW, MSW, MPH, CPH 1477939551
ADA L BROWN LCSW 1235598871
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.