Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DERRELL R. TIDWELL, LCSW
Active Sole ProprietorMR. DERRELL R. TIDWELL, LCSW is a Clinical Social Worker healthcare provider located in PORT TOWNSEND, Washington. NPI 1871661074 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PORT TOWNSEND, WA
Registration Details
- NPI Number
- 1871661074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2006 (19.509270679797 yrs)
- Last Updated
- Feb 14, 2024
- License
-
9609 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
432 30TH STREETPORT TOWNSEND, WA, 98368Browse WA providers · Browse ZIP 98368
- Phone
- 3106704295
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PORT TOWNSEND, WA
| Name | Credential | NPI |
|---|---|---|
| MRS. DONETTE BOYETT | LCSW-A | 1386618254 |
| MRS. ANITA ELAINE MARTINA ABBA RICHARD | LCMSW | 1376613364 |
| JILL M PAULK | LICSW | 1003977463 |
| ANNEMARIE MENDE | LICSW | 1164558383 |
| MS. SARA SMITHSON | LCSW, LICSW | 1275728511 |
| MS. KOLBY MERTZ GAMBILL | LICSW | 1669858601 |
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.