Stacey Tidwell, LCSW
NPI 1790189413 · School Social Worker · Stockton, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacey Tidwell, LCSW is a School Social Worker provider in Stockton, CA (NPI 1790189413).
Provider details
- NPI number
- 1790189413
- Entity type
- Individual
- Primary specialty
- School Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- 2014-10-09
- Last updated
- 2021-12-30
- Certified
- 2020-09-03
Frequently asked questions
- What is Stacey Tidwell's NPI number?
- Stacey Tidwell's National Provider Identifier (NPI) is 1790189413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Tidwell's specialty?
- Stacey Tidwell is listed in the NPPES registry with a primary specialty of School Social Worker (Behavioral Health & Social Service Providers).
- Where is Stacey Tidwell located?
- Stacey Tidwell's practice location on file with NPPES is 3311 Morada Ln, Stockton, CA 95212-3148.
- What is Stacey Tidwell's phone number?
- The practice phone number listed in the NPPES registry for Stacey Tidwell is (209) 647-3047.
- Does Stacey Tidwell accept Medicare?
- Stacey Tidwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacey Tidwell's NPI active?
- Yes — Stacey Tidwell's NPI (1790189413) is active in the NPPES registry as of the last update on 2021-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.