MR. DERRELL R. TIDWELL LCSW
NPI 1871661074
Social Worker - Clinical in Port Townsend, WA

Active since December 04, 2006
432 30TH STREET, PORT TOWNSEND, WA 98368(310) 670-4295 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Derrell R. Tidwell Lcsw NPPES

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

MR. DERRELL R. TIDWELL LCSW (NPI 1871661074) is an individual clinical provider in Port Townsend, Washington, licensed in California (9609) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1871661074
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DERRELL R. TIDWELLCredential: LCSW
Location Address432 30TH STREETPort Townsend, WA 98368
Mailing Address432 30th StreetPort Townsend, WA 98368 · (310) 871-2954
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateFebruary 14, 2024
NPI 1871661074 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 CA · 9609
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.
432 30TH STREET, Port Townsend, WA 98368

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 Derrell Tidwell's NPI number?

The NPI number for Derrell Tidwell is 1871661074. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Derrell Tidwell located?

Derrell Tidwell practices at 432 30th Street, Port Townsend, WA 98368. The listed phone number is (310) 670-4295.

What is Derrell Tidwell's specialty?

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

When was this NPI record last updated?

The NPPES record for Derrell Tidwell was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.