IndividualActive
Jessica Tidwell
NPI 1023399946 · Social Worker · Southgate, MI
Jessica Tidwell is a Social Worker provider in Southgate, MI (NPI 1023399946).
Provider details
- NPI number
- 1023399946
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13101 Allen Rd
Southgate, MI 48195-2216
Phone: (734) 785-7700
Street-level locationGet directions
Mailing address
1200 Lesley Ln
Longview, TX 75604-6203
Registry dates
- Enumerated
- 2011-09-06
- Last updated
- 2011-09-06
Frequently asked questions
- What is Jessica Tidwell's NPI number?
- Jessica Tidwell's National Provider Identifier (NPI) is 1023399946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Tidwell's specialty?
- Jessica Tidwell is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Jessica Tidwell located?
- Jessica Tidwell's practice location on file with NPPES is 13101 Allen Rd, Southgate, MI 48195-2216.
- What is Jessica Tidwell's phone number?
- The practice phone number listed in the NPPES registry for Jessica Tidwell is (734) 785-7700.
- Is Jessica Tidwell's NPI active?
- Yes — Jessica Tidwell's NPI (1023399946) is active in the NPPES registry as of the last update on 2011-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.