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JESSICA TIDWELL
NPI 1023399946
Social Worker in Southgate, MI

Active since September 06, 2011
13101 ALLEN RD, SOUTHGATE, MI 48195(734) 785-7700 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Tidwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA TIDWELL (NPI 1023399946) is an individual social worker in Southgate, Michigan and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1023399946
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJESSICA TIDWELL
Location Address13101 ALLEN RDSouthgate, MI 48195-2216
Mailing Address1200 Lesley LnLongview, TX 75604-6203
Phone(734) 785-7700
Sole ProprietorNo
Enumeration DateSeptember 6, 2011
✔ NPI 1023399946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
13101 ALLEN RD, Southgate, MI 48195
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORI SUE MITCHELL RN
Registered Nurse
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7731
SHANNON BAYNAI
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
MISS RENEE GOLDSBY
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 486-3199
POONAM SHYAM MELWANI
Social Worker
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
MR. JAMES GERARD LIVINGSTON LLMSW
Social Worker (Clinical)
13101 ALLEN RD, SUITE 400
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
VICKIE LYNN NOVELL LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
CLAUDETTE JEFFERSON LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
RICKY DAVIS QMHS-B
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Tidwell's NPI number?

The NPI number for Jessica Tidwell is 1023399946. It was assigned to this individual provider in the NPPES registry on September 6, 2011.

Where is Jessica Tidwell located?

Jessica Tidwell practices at 13101 Allen Rd, Southgate, MI 48195. The listed phone number is (734) 785-7700.

What is Jessica Tidwell's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jessica Tidwell was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.