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

Mr. Derrell R. Tidwell, LCSW

Individual provider Clinical Social Worker · NPI 1871661074

Mr. Derrell R. Tidwell, LCSW is a Clinical Social Worker in Port Townsend, Washington. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
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

432 30th St
Port Townsend, WA 98368
Phone: (310) 670-4295
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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 9609 (CA)

Record details

NPI number1871661074
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 4, 2006
Last updated in NPPESFebruary 14, 2024

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