Mr. Derrell R. Tidwell LCSW
Clinical Social Worker in Port Townsend, WA(View on Map)
Full Name
Mr. Derrell R. Tidwell LCSW
NPI Number
1871661074
NPI Type
Individual Provider
Gender
Male
Enumeration Date
12/04/2006
Specialties
(Taxonomies)Licenses
State
California
License Number
9609
Contact
Information
Purpose
Mailing
Location
Address
432 30TH STREET
432 30TH STREET
City
Port Townsend
Port Townsend
State
WA
WA
Postal Code
98368
98368
Country
US
US
Telephone Number
(310) 871-2954
(310) 670-4295
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/14/2024
Provider Address
Other Clinical Social Workers in Port Townsend, Washington:
Andrea Knutson LSWAIC
Port Townsend, WASpecialties: Clinical Social Worker (Primary)CounselorSocial Worker