Ms Danielle Nicole Tidmore, LISW is a
Social Worker - Clinical based in Sheppard Air Force Base, Texas. Ms Danielle Nicole Tidmore is licensed to practice in Iowa (license number 120849) and her current practice location is
527 Tuskegee Airmen Avenue, Sheppard Air Force Base, Texas. She can be reached at her office (for appointments etc.) via phone at
(405) 940-6075.
NPI number for Ms Danielle Nicole Tidmore is 1417508870 and her current mailing address is 527 Tuskegee Airmen Avenue, Sheppard Afb, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417508870.
Healthcare Provider's Profile
Full Name | Ms Danielle Nicole Tidmore |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 527 Tuskegee Airmen Avenue, Sheppard Air Force Base, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417508870
- Provider Enumeration Date: 09/26/2019
- Last Update Date: 09/20/2023
Medical Identifiers
Medical identifiers for Ms Danielle Nicole Tidmore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417508870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 120849 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Danielle Nicole Tidmore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Danielle Nicole Tidmore, LISW 527 Tuskegee Airmen Avenue, Sheppard Afb, TX 76311 Ph: (940) 676-6075 | Ms Danielle Nicole Tidmore, LISW 527 Tuskegee Airmen Avenue, Sheppard Air Force Base, TX 76311-6437 Ph: (405) 940-6075 |
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