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

Individual provider Clinical Social Worker · NPI 1912568726

Mrs. Kendall Lee Tidey, LCSWA is a Clinical Social Worker in Wilmington, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
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Practice location Address checks out

3001 Wrightsville Ave Ste B
Wilmington, NC 28403-4106
Phone: (910) 526-0550
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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 P013745 (NC)

Record details

NPI number1912568726
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedJune 23, 2019
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020

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