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DEEP TIDES THERAPY PLLC
NPI 1649076191
Social Worker in Georgetown, TX

Active since February 24, 2025
1804 E 18TH ST, GEORGETOWN, TX 78626(503) 754-2817 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deep Tides Therapy Pllc NPPES

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

DEEP TIDES THERAPY PLLC (NPI 1649076191) is a healthcare organization registered as a social worker in Georgetown, Texas and active in the NPI registry since February 2025. The organization lists Corina Wolfenstein, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1649076191
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameDEEP TIDES THERAPY PLLC
Location Address1804 E 18TH STGeorgetown, TX 78626-7322
Mailing Address14205 N Mo Pac Expy Ste 570Austin, TX 78728-6529
Phone(503) 754-2817
Organization SubpartNo
Authorized OfficialCorina WolfensteinOwner Of Entity · (503) 754-2817
Enumeration DateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1649076191 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.
1804 E 18TH ST, Georgetown, TX 78626
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Deep Tides Therapy PLLC's NPI number?

The NPI number for Deep Tides Therapy PLLC is 1649076191. It was assigned to this organization in the NPPES registry on February 24, 2025.

Where is Deep Tides Therapy PLLC located?

Deep Tides Therapy PLLC is located at 1804 E 18th St, Georgetown, TX 78626. The listed phone number is (503) 754-2817.

What is Deep Tides Therapy PLLC'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 Deep Tides Therapy PLLC was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.