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MR. HERBERT TAYLOR TISDALE III SOCIAL WORKER
NPI 1306559380
Social Worker - Clinical in Ruskin, FL

Active since January 04, 2023PECOS Enrolled
2814 14TH AVE SE, RUSKIN, FL 33570(813) 653-6100 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Herbert Taylor Tisdale Iii Social Worker NPPES

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

MR. HERBERT TAYLOR TISDALE III SOCIAL WORKER (NPI 1306559380) is an individual clinical provider in Ruskin, Florida, licensed in Florida (SW20228) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306559380
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. HERBERT TAYLOR TISDALE IIICredential: SOCIAL WORKER
Location Address2814 14TH AVE SERuskin, FL 33570-5471
Mailing Address7609 Paradiso DrApollo Beach, FL 33572-1644 · (251) 455-4745 · Fax (813) 475-5278
Phone(813) 653-6100
Sole ProprietorYes
Enumeration DateJanuary 4, 2023
NPPES CertifiedJanuary 4, 2023
✔ NPI 1306559380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW20228
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2814 14TH AVE SE, Ruskin, FL 33570
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Herbert Taylor Tisdale Iii Social Worker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33570 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. HAROLD JAMES LOCHNER III MD
Pediatrics
2814 14TH AVE SE
RUSKIN, FL 33570
Hillsborough County (181) 365-3610
JEFFREY G. HUNT
Pharmacist
2814 14TH AVE SE
RUSKIN, FL 33570
Hillsborough County (813) 349-7859
MARICAR C CAL ARNP
Nurse Practitioner (Family)
2814 14TH AVE SE
RUSKIN, FL 33570
Hillsborough County (813) 361-1658
NADIA MARIE SAUER CHOE D.O.
Internal Medicine
2814 14TH AVE SE
RUSKIN, FL 33570
Hillsborough County (813) 349-7800
ANGELA MCCLURE ARNP
Nurse Practitioner
2814 14TH AVE SE
RUSKIN, FL 33570
Hillsborough County (813) 652-6100
MRS. HELEN POTESTAS CORONICA ARNP
Nurse Practitioner (Family)
2814 14TH AVE SE
RUSKIN, FL 33570
Hillsborough County (813) 349-7800
DR. ANTHONY ALAN ABOUHANNA DO
Family Medicine
2814 14TH AVE SE, RUSKIN HEALTH CENTER
RUSKIN, FL 33570
Hillsborough County (813) 349-7800
DR. INDRANI DATTA M.D., M.P.H.
Internal Medicine
2814 14TH AVE SE
RUSKIN, FL 33570
Hillsborough County (813) 349-7800

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 Herbert Tisdale's NPI number?

The NPI number for Herbert Tisdale is 1306559380. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Where is Herbert Tisdale located?

Herbert Tisdale practices at 2814 14th Ave SE, Ruskin, FL 33570. The listed phone number is (813) 653-6100.

What is Herbert Tisdale's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Herbert Tisdale enrolled in Medicare?

Yes. Herbert Tisdale is registered in the Medicare PECOS enrollment system.

What insurance does Herbert Tisdale accept?

Health plans from Molina Healthcare list Herbert Tisdale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Herbert Tisdale was last updated on January 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.