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

Stacey Tidwell, LCSW

Individual provider School Social Worker · NPI 1790189413

Stacey Tidwell, LCSW is a School Social Worker in Stockton, California. Registered with an NPI since 2014.

In the registry since
2014
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

3311 Morada Ln
Stockton, CA 95212-3148
Phone: (209) 647-3047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Social Worker (primary) Taxonomy 1041S0200X

Record details

NPI number1790189413
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 9, 2014
Last updated in NPPESDecember 30, 2021
Certification dateSeptember 3, 2020

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