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

STACEY TIDWELL, LCSW

Active

STACEY TIDWELL, LCSW is a School Social Worker healthcare provider located in STOCKTON, California. NPI 1790189413 is currently active in the NPPES registry. Verify at CMS.

School Social Worker · STOCKTON, CA

Registration Details

NPI Number
1790189413
Provider Type
Individual
Gender
Female
NPI Issued
Oct 9, 2014 (11.810105679183 yrs)
Last Updated
Dec 30, 2021

Practice Information

Address
3311 MORADA LN
STOCKTON, CA, 952123148
Browse CA providers · Browse ZIP 95212
Phone
2096473047
Primary Specialty
School Social Worker
1041S0200X

Other School Social Worker Providers in STOCKTON, CA

Name Credential NPI
LORNA HASSARD 1881022754
SOPHIE LOR PPSC 1386494706
MS. AARION ALLEN ASW 1922801646
MARIA E UGALDE 1568318079
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.