Cynthia A. Tidwell, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

#439 Issued in NH

Practice address

322 Amherst Street
Willowdale Counseling Center, PLLC
Nashua, NH 03063

Phone

(603) 881-7554

Fax

(603) 881-7533

NPI assigned

Oct 4, 2006

Last updated

Jun 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Genesis Counseling Center, Inc.Group PAC ID 8729091715, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Counseling Center, Inc.

  • Professional Counselor
  • Hampton, VA
  • NPI 1164451399

  Clinical

  Medicare reassignment Care Compare group NPD
• Willowdale Counseling Center, PLLC

  • Clinical Psychologist
  • Nashua, NH
  • NPI 1376635102
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1467547497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 AMHERST STREET",
            "address_2": "WILLOWDALE COUNSELING CENTER, PLLC",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03063",
            "telephone_number": "603-881-7554",
            "fax_number": "603-881-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 AMHERST STREET",
            "address_2": "WILLOWDALE COUNSELING CENTER, PLLC",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03063",
            "telephone_number": "603-881-7554",
            "fax_number": "603-881-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "CYNTHIA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NH",
            "license": "#439",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30421869",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Three Rivers Homecare, Inc. (SYNERGY HomeCare of Nashua)
• Phone Myat Thu, M.D.
• Darla L. Thyng, MD
• Jonathan Benton Thyng, MD
• Thyroid Center of New Hampshire PC
• Tayleigh Eva Tierney-Honan, PA-C
• Colette Nicole Tilton, ARNP
• Kristen Marie Timothy, PT, DPT
• Jenna Tingley
• Chitra Tirupathur Srinivasan, PT

• Social Worker in Nashua, NH
• Providers in Nashua, NH by specialty
• Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.