Benjamin L Tidwell in Riverview - Clinical
Benjamin L Tidwell - NPI 1861407520
Benjamin L Tidwell is a Clinical in Riverview, Florida. Benjamin L Tidwell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Benjamin L Tidwell is 1861407520. The last update date is 2021-08-11.
Benjamin L Tidwell's current location address is 5905 Us 301 S, Riverview, Florida. You can contact this provider via phone number 8663892727. The mailing address for Benjamin L Tidwell is 5905 Us 301 S, Riverview, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin L Tidwell |
|---|---|
| Address | 5905 Us 301 S, Riverview, Florida |
| Phone Number | 8663892727 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW, CCDP |
NPI Number Detail
| NPI Number | 1861407520 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2021-08-11 |
Provider Mailing Address Detail
| Address | 5905 Us 301 S |
|---|---|
| City | Riverview |
| State | Florida (FL) |
| Post Code | 335783800 |
| Phone Number | 8663892727 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1283C |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 175962795 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Benjamin L Tidwell by the Centers for Medicare & Medicaid Services?
The Benjamin L Tidwell has been assigned the NPI (National Provider Identifier) 1861407520 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Benjamin L Tidwell is located?
The Benjamin L Tidwell is situated at the following address: 5905 Us 301 S, Riverview, FL, 335783800.
What is the Benjamin L Tidwell's area of specialization and corresponding taxonomy classification?
The Benjamin L Tidwell's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Benjamin L Tidwell receive its 1861407520?
The Benjamin L Tidwell was issued its 1861407520 on 2006-07-30, which is the date when the organization was assigned this unique identifier.
As of what date were the Benjamin L Tidwell's details last updated?
The information pertaining to the Benjamin L Tidwell, including its address, specialty, and other details, was most recently updated on 2021-08-11.