JASMYNE TIDWELL - NPI 1831433317 - Social Worker in Beaumont, CA

Q: What is Jasmyne Tidwell's NPI number?

The NPI number for Jasmyne Tidwell is 1831433317. It was assigned to this individual provider in the NPPES registry on November 21, 2012.

Q: What is Jasmyne Tidwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jasmyne Tidwell was last updated on November 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

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About Jasmyne Tidwell NPPES

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

JASMYNE TIDWELL (NPI 1831433317) is an individual clinical provider in Beaumont, California and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1831433317

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJASMYNE TIDWELL

Location Address14700 MANZANITA PARK ROADBeaumont, CA 92223

Mailing Address14700 Manzanita Park RoadBeaumont, CA 92223 · (951) 845-3155 · Fax (951) 845-8412

Phone(951) 845-3155

Fax(951) 845-8412

Sole ProprietorNo

Enumeration DateNovember 21, 2012

✔ NPI 1831433317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

14700 MANZANITA PARK ROAD, Beaumont, CA 92223

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Other Providers at the Same Location NPPES 10

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

PATRICK ADAMS ACSW

Counselor (Mental Health)