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

Rising Tide Licensed Clinical Social Worker a Professional Corp

Organization Clinical Social Worker · NPI 1730007782

Rising Tide Licensed Clinical Social Worker a Professional Corp is a Clinical Social Worker in Mill Valley, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

249 Morning Sun Ave
Mill Valley, CA 94941-3503
Phone: (309) 868-3809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1730007782
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucas Garrison — Licensed Clinical Social Worker · (309) 868-3809
NPI enumeratedJuly 8, 2026
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address249 Morning Sun Ave, Mill Valley, CA 94941-3503

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