Alexis Tidball, ASW
NPI 1669085296 · Clinical Social Worker · Modesto, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alexis Tidball, ASW is a Clinical Social Worker provider in Modesto, CA (NPI 1669085296).
Provider details
- NPI number
- 1669085296
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- ASW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2020-08-24
- Last updated
- 2024-07-15
- Certified
- 2024-07-15
Frequently asked questions
- What is Alexis Tidball's NPI number?
- Alexis Tidball's National Provider Identifier (NPI) is 1669085296, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alexis Tidball's specialty?
- Alexis Tidball is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Alexis Tidball located?
- Alexis Tidball's practice location on file with NPPES is 121 Downey Ave, Modesto, CA 95354-1208.
- What is Alexis Tidball's phone number?
- The practice phone number listed in the NPPES registry for Alexis Tidball is (209) 341-1824.
- Does Alexis Tidball accept Medicare?
- Alexis Tidball is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alexis Tidball's NPI active?
- Yes — Alexis Tidball's NPI (1669085296) is active in the NPPES registry as of the last update on 2024-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.