IndividualActive
Samantha Tidd, MSW, LICSW
NPI 1144977786 · Clinical Social Worker · Brooklyn Park, MN
Provider details
- NPI number
- 1144977786
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 24053 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% 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
5500 94th Ave N
Brooklyn Park, MN 55443-1992
Phone: (763) 226-1647
Approximate (ZIP-level) locationGet directions
Mailing address
5500 94th Ave N
Brooklyn Park, MN 55443-1992
Registry dates
- Enumerated
- 2022-03-03
- Last updated
- 2022-03-03
- Certified
- 2022-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.