1. Home
  2. Directory
  3. Florida
  4. Riverview
  5. Social Worker
  6. NPI Profile

MR. BENJAMIN L TIDWELL LCSW, CCDP-DIPLOMATE
NPI 1861407520
Social Worker - Clinical in Riverview, FL

Active since July 30, 2006PECOS EnrolledAccepts Medicare Assignment
5905 US 301 S, RIVERVIEW, FL 33578(866) 389-2727 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2021, May 17, 2017 (2 updates tracked since 2017).

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

NPI1861407520
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BENJAMIN L TIDWELLCredential: LCSW, CCDP-DIPLOMATE
Location Address5905 US 301 SRiverview, FL 33578-3800
Mailing Address35 Goff StVilonia, AR 72173-9315 · (501) 580-0116
Phone(866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 30, 2006
Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
✔ NPI 1861407520 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 AR · 1283C
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.
5905 US 301 S, Riverview, FL 33578
Open in Google Maps ↗

Secondary Practice Location 1

Location 1502 Richie RdCabot, AR 72023-3309 · Phone (501) 941-0940 · Fax (501) 941-1875

Other Identifiers 1

Medicaid175962795AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID1355441940
PECOS Enrollment IDI20070711000858
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 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.

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 3

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

TAMARA PAUL APRN
Nurse Practitioner (Family)
5905 US 301 S
RIVERVIEW, FL 33578
Hillsborough County (866) 389-2727
KATIE MORAN FNP
Nurse Practitioner (Family)
5905 US 301 S
RIVERVIEW, FL 33578
Hillsborough County (727) 822-7115
JOANNE GARRISON RN
Registered Nurse
5905 US 301 S
RIVERVIEW, FL 33578
Hillsborough County (813) 740-8643

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.

What insurance does Benjamin Tidwell accept?

Health plans from Arkansas Blue Cross and Blue Shield, 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 with the weekly NPPES data releases published by CMS.