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

Mr. Benjamin L Tidwell, LCSW, CCDP-DIPLOMATE

Individual provider Clinical Social Worker · NPI 1861407520

Mr. Benjamin L Tidwell, LCSW, CCDP-DIPLOMATE is a Clinical Social Worker in Riverview, Florida. Qualified in 1995, 31 years ago. Practices with Chenal Family Therapy PLC, a 39-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
31
Licensed in
AR
In the registry since
2006
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

5905 US 301 S
Riverview, FL 33578-3800
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 502 Richie Rd, Cabot, AR 72023-3309 — (501) 941-0940

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1283C (AR)

Record details

NPI number1861407520
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CCDP-DIPLOMATE
Sole proprietorNo
NPI enumeratedJuly 30, 2006
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Chenal Family Therapy Plc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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