Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Bennett Tilden, LCSW, CTRS, AMGA-SPI

Individual provider Clinical Social Worker · NPI 1932704459

Michael Bennett Tilden, LCSW, CTRS, AMGA-SPI is a Clinical Social Worker in Jackson, Wyoming. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1490 Gregory Ln # 4
Jackson, WY 83001-9021
Phone: (307) 734-6040
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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 · Licence LCSW-40146 (ID)

Record details

NPI number1932704459
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CTRS , AMGA-SPI
Sole proprietorNo
NPI enumeratedDecember 2, 2020
Last updated in NPPESDecember 2, 2020
Certification dateNovember 16, 2020

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