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

Mr. Herbert Taylor Tisdale III, SOCIALWORKER

Individual provider Clinical Social Worker · NPI 1306559380

Mr. Herbert Taylor Tisdale III, SOCIALWORKER is a Clinical Social Worker in Ruskin, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

2814 14th Ave SE
Ruskin, FL 33570-5471
Phone: (813) 653-6100
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 SW20228 (FL)

Record details

NPI number1306559380
Entity typeIndividual (Type 1)
GenderMale
Credentials SOCIALWORKER
Sole proprietorYes
NPI enumeratedJanuary 4, 2023
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023

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