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

Owen Tidwell, LICSW

Individual provider Counselor · NPI 1730756800

Owen Tidwell, LICSW is a Clinical Social Worker in Fall River, Massachusetts. Qualified in 2017, 9 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2021
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

261 Mount Pleasant St
Fall River, MA 02720-4317
Phone: (774) 309-1819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 124273 (MA)
Counselor Taxonomy 101Y00000X · Licence 224258 (MA)

Record details

NPI number1730756800
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 8, 2021
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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