Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861407520 Individual Practitioner Male Practitioner

Benjamin L Tidwell , LCSW, CCDP-DIPLOMATE

Social Worker - Clinical • Riverview, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Benjamin Tidwell, LCSW, CCDP-DIPLOMATE is a certified Social Worker - Clinical practicing in Riverview, FL. With approximately 31 years of clinical experience since completing medical education in 1995, Benjamin Tidwell delivers high-quality medical care to the local community at 5905 US 301 S.

Benjamin Tidwell is affiliated with Chenal Family Therapy Plc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5905 Us 301 S

Riverview, FL 335783800

Telephone 8663892727
Associated Practice Facility / Clinic
🏢 Minuteclinic Llc Facility NPI 1134191836

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Riverview, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs +14.5 yrs vs City Avg
City Avg: 16.5 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
45 Specialists

Practicing in Riverview, FL (13861 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tidwell (31 Years) 31 Yrs
Riverview Specialty Average (16.5 Years) 16.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
131 17 $255.04 $102.25
90791 Psychiatric diagnostic evaluation
18 18 $300.00 $114.48

Medical Specialties & State Licenses

CMS Verified: 2021-08-11
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License AR 1283C

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
175962795 (AR)

Hospital & Practice Group Affiliations

Chenal Family Therapy Plc

304 W Collin Raye Dr, De Queen, AR 718322000

Phone: 8703042636

Secondary Practice Locations

502 Richie Rd

Cabot, AR 720233309

Phone: 5019410940

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nicole Wagschal , MSN APRN

Nurse Practitioner - Family

NPI 1003013525

MSNAPRN

Shelly Gallini , PA-C

Physician Assistant

NPI 1003089210

Physician Assistant (Certified)

Dr. Lilia Pino , PhD, ARNP

Nurse Practitioner - Family

NPI 1003094855

Doctor of Philosophy (Ph.D.), Advanced Registered Nurse Practitioner

Maria Gagliano , FNP

Nurse Practitioner - Family

NPI 1003160532

Family Nurse Practitioner

Jennifer Price , APRN

Nurse Practitioner - Family

NPI 1003185570

Advanced Practice Registered Nurse

Megan Lottes , NP-C

Nurse Practitioner - Family

NPI 1003196965

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location August 11, 2021

Registered at 5905 US 301 S, RIVERVIEW, FL 335783800 (Tel: 8663892727)

📍
Updated Business Mailing Address August 11, 2021

Registered at 35 GOFF ST, VILONIA, AR 721739315 (Tel: 5015800116)

NPI Profile Active May 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2017

Registered at 502 RICHIE RD, CABOT, AR 720233309 (Tel: 5019410940)

📍
Updated Business Mailing Address May 17, 2017

Registered at PO BOX 497, AUGUSTA, AR 720060497 (Tel: 8703472534)

👤
Provider Name / Credentials Updated May 17, 2017

Recorded as BENJAMIN TIDWELL, LCSW, CCDP-DIPLOMATE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2017

Social Worker (License #1283C in AR)

📍
Updated Practice Location May 01, 2017

Registered at 502 RICHIE RD, CABOT, AR 720233309 (Tel: 5019410940)

📍
Updated Business Mailing Address May 01, 2017

Registered at PO BOX 497, AUGUSTA, AR 720060497 (Tel: 8703472534)

NPI Profile Active November 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2012

Registered at 407 S 7TH ST, HEBER SPRINGS, AR 725433722 (Tel: 5013653022)

📍
Updated Business Mailing Address November 16, 2012

Registered at 407 S 7TH ST, HEBER SPRINGS, AR 725433722 (Tel: 5013653022)

👤
Provider Name / Credentials Updated November 16, 2012

Recorded as BENJAMIN TIDWELL, LCSW, CCDP-DIPLOMATE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2012

Social Worker (License #1283C in AR)

🟢
Initial NPI Registration & Enumeration July 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861407520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2006
Last Update: August 11, 2021
Sole Proprietor: No

Mailing Address

35 Goff St

Vilonia, AR 721739315

Phone: 5015800116

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.