MR. BENJAMIN L TIDWELL LCSW, CCDP-DIPLOMATE
NPI 1861407520
Social Worker - Clinical in Riverview, FL
About Mr. Benjamin L Tidwell Lcsw, Ccdp-diplomate NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BENJAMIN L TIDWELL LCSW, CCDP-DIPLOMATE (NPI 1861407520) is an individual clinical provider in Riverview, Florida, licensed in Arkansas (1283C) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cabot, and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Benjamin L Tidwell Lcsw, Ccdp-diplomate is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Benjamin Tidwell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 94 clinicians in this Medicare group
Plainfield, IL 60585
- Reassigned Medicare billing, Florida enrollment
- 57 clinicians in this Medicare group
Plainfield, IL 60585
- Reassigned Medicare billing, Arkansas enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33578 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERVIEW, FL 33578
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 Benjamin Tidwell's NPI number?
The NPI number for Benjamin Tidwell is 1861407520. It was assigned to this individual provider in the NPPES registry on July 30, 2006.
Where is Benjamin Tidwell located?
Benjamin Tidwell practices at 5905 Us 301 S, Riverview, FL 33578. The listed phone number is (866) 389-2727.
What is Benjamin Tidwell's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Benjamin Tidwell enrolled in Medicare?
Yes. Benjamin Tidwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Benjamin Tidwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Tidwell reassigns Medicare benefits to 3 organizations: Chenal Family Therapy, Plc (Little Rock, AR), Blue Moon Senior Counseling (Plainfield, IL) and Bmsc Az LLC (Plainfield, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Tidwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Tidwell accept?
Health plans from Health Advantage and Octave list Benjamin Tidwell 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 Benjamin Tidwell was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Benjamin L Tidwell, LCSW, CCDP-DIPLOMATE · NPI 1861407520
Clinical provider in Riverview, Florida. Individual provider, active in the CMS NPPES registry since July 30, 2006.
## Identity
- **NPI:** 1861407520 (Entity type: Individual)
- **Enumerated:** July 30, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 1283C (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5905 US 301 S, Riverview, FL 33578-3800
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Chenal Family Therapy, Plc (NPI 1356604219, Little Rock, AR); Blue Moon Senior Counseling (NPI 1205129186, Plainfield, IL); Bmsc Az LLC (NPI 1497201875, Plainfield, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** August 11, 2021
- **Other identifiers:** Medicaid 175962795 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1861407520) · Data from the CMS NPPES public registry.