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

MR. BENJAMIN L TIDWELL, LCSW, CCDP-DIPLOMATE

Active

MR. BENJAMIN L TIDWELL, LCSW, CCDP-DIPLOMATE is a Clinical Social Worker healthcare provider located in RIVERVIEW, Florida. NPI 1861407520 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · RIVERVIEW, FL

Registration Details

NPI Number
1861407520
Provider Type
Individual
Gender
Male
NPI Issued
Jul 30, 2006 (19.860483829725 yrs)
Last Updated
Aug 11, 2021
License
1283C (AR)

Practice Information

Address
5905 US 301 S
RIVERVIEW, FL, 335783800
Browse FL providers · Browse ZIP 33578
Phone
8663892727
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in RIVERVIEW, FL

Name Credential NPI
BIANCA E. GOLONDRINO LCSW 1801985866
CONNIE E OWENS LMSW, LCSW 1891860987
MS. FRANCES C MYERS-ROUTT LCSW 1235205626
LAURA MICHELLE DELANEY LCSW-C 1245440866
MS. DAISY MARIE DEYNES-BRYANT LCSW 1386801538
JENNIFER COLBERT LCSW 1568691541
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.