Stephanie Leigh Tidwell, LMSW is a
Social Worker based in Jonesboro, Arkansas. Stephanie Leigh Tidwell is licensed to practice in Arkansas (license number 6555-M) and her current practice location is
1815 Pleasant Grove Rd, Jonesboro, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 933-6886.
NPI number for Stephanie Leigh Tidwell is 1679836514 and her current mailing address is 1815 Pleasant Grove Rd, Jonesboro, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679836514.
Healthcare Provider's Profile
| Full Name | Stephanie Leigh Tidwell |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 1815 Pleasant Grove Rd, Jonesboro, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679836514
- Provider Enumeration Date: 06/15/2012
- Last Update Date: 05/11/2018
Medical Identifiers
Medical identifiers for Stephanie Leigh Tidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679836514 | NPI | - | NPPES |
| 185057795 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 6555-M (Arkansas) | 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. Stephanie Leigh Tidwell 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 |
|---|
Stephanie Leigh Tidwell, LMSW
1815 Pleasant Grove Rd,
Jonesboro, AR 72401-7870
Ph: (870) 933-6886 | Stephanie Leigh Tidwell, LMSW
1815 Pleasant Grove Rd,
Jonesboro, AR 72401-7870
Ph: (870) 933-6886 |
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