Rising Tide Licensed Clinical Social Worker a Professional Corp

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RISING TIDE LICENSED CLINICAL SOCIAL WORKER A PROFESSIONAL CORP

Practice address

249 Morning Sun Ave
Mill Valley, CA 94941-3503

Phone

(309) 868-3809

NPI assigned

Jul 8, 2026

Organization subpart

No

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

Authorized official

Name

Lucas Michael Garrison, LCSW

Title

Licensed Clinical Social Worker

Phone

(309) 868-3809

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1730007782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 MORNING SUN AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413503",
            "telephone_number": "309-868-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 MORNING SUN AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413503",
            "telephone_number": "309-868-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING TIDE LICENSED CLINICAL SOCIAL WORKER A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "309-868-3809",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liesl Reyes, PHARMD
• Charles Norton Reynolds
• Nancy Rhine, MS
• Richard Goldwasser, MD and Associates
• Robert J. Riopelle, M.D.
• Rite Aid Corporation
• Riverside Radiology Medical Group, Inc.
• Robert E Belknap MD Inc
• Boe Elizabeth Roberts, LMFT
• Noah Gray Roberts, PT, DPT

• Clinical Social Worker in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.