Derrell R. Tidwell, LCSW Valid NPI

Individual provider · Clinical Social Worker · Port Townsend, WA

NPI

1871661074

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

9609 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-12-04

Last updated

2024-02-14