Derrell Tidwell, LCSW
NPI 1871661074 · Clinical Social Worker · Port Townsend, WA
Derrell Tidwell, LCSW is a Clinical Social Worker provider in Port Townsend, WA (NPI 1871661074).
Provider details
- NPI number
- 1871661074
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9609 (CA)
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
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
- 2006-12-04
- Last updated
- 2024-02-14
Frequently asked questions
- What is Derrell Tidwell's NPI number?
- Derrell Tidwell's National Provider Identifier (NPI) is 1871661074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrell Tidwell's specialty?
- Derrell Tidwell is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Derrell Tidwell located?
- Derrell Tidwell's practice location on file with NPPES is 432 30th Street, Port Townsend, WA 98368.
- What is Derrell Tidwell's phone number?
- The practice phone number listed in the NPPES registry for Derrell Tidwell is (310) 670-4295.
- Is Derrell Tidwell's NPI active?
- Yes — Derrell Tidwell's NPI (1871661074) is active in the NPPES registry as of the last update on 2024-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.