Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Changing Tides Therapy

Organization Clinical Social Worker · NPI 1841017225

Changing Tides Therapy is a Clinical Social Worker in Fort Lauderdale, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

19410 SW 58th Pl
Fort Lauderdale, FL 33332-1301
Phone: (954) 710-7619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1841017225
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChanging Tides Therapy
Authorized official Brandy Pidermann — Owner · (954) 710-7619
Other names Dr. Brandy Pidermann, Lcsw
NPI enumeratedSeptember 25, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address4301 S Flamingo Rd Ste 106, Davie, FL 33330-1902

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