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