Benjamin Tidwell, LCSW, CCDP-DIPLOMATE
NPI 1861407520 · Clinical Social Worker · Riverview, FL
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Tidwell, LCSW, CCDP-DIPLOMATE is a Clinical Social Worker provider in Riverview, FL (NPI 1861407520).
Provider details
- NPI number
- 1861407520
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, CCDP-DIPLOMATE
- Sex
- Male
- Sole proprietor
- No
- License
- 1283C (AR)
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 502 Richie RdCabot, AR 72023-3309Phone: (501) 941-0940Fax: (501) 941-1875
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2021-08-11
- Certified
- 2021-08-11
Frequently asked questions
- What is Benjamin Tidwell's NPI number?
- Benjamin Tidwell's National Provider Identifier (NPI) is 1861407520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Tidwell's specialty?
- Benjamin Tidwell is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Benjamin Tidwell located?
- Benjamin Tidwell's practice location on file with NPPES is 5905 US 301 S, Riverview, FL 33578-3800.
- What is Benjamin Tidwell's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Tidwell is (866) 389-2727.
- Does Benjamin Tidwell accept Medicare?
- Benjamin Tidwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Tidwell's NPI active?
- Yes — Benjamin Tidwell's NPI (1861407520) is active in the NPPES registry as of the last update on 2021-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.