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

Alexis Tidball, ASW

Individual provider Case Manager/Care Coordinator · NPI 1669085296

Alexis Tidball, ASW is a Case Manager/Care Coordinator in Modesto, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

121 Downey Ave
Modesto, CA 95354-1208
Phone: (209) 341-1824
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 98746 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1669085296
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW
Sole proprietorNo
NPI enumeratedAugust 24, 2020
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

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