MR. BENJAMIN L TIDWELL (LCSW, CCDP-DIPLOMATE) – Clinical Social Worker, NPI 1861407520
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
681 CLINICAL SOCIAL WORKER in AR
Provider Addresses for MR. BENJAMIN L TIDWELL (LCSW, CCDP-DIPLOMATE)
502 Richie Rd
Cabot, AR 720233309
Phone: (501) 941-0940
Fax: (501) 941-1875
Type: Location
5905 US 301 S
RIVERVIEW, FL 335783800
Phone: (866) 389-2727
Type: Location
35 GOFF ST
VILONIA, AR 721739315
Phone: (501) 580-0116
Type: Mailing
497, Belfast Augusta Road, Clarks Corner, Waldo County, Maine, 04949, United States
AUGUSTA, AR 720060497
Phone: (870) 347-2534
Fax: (870) 347-2023
Type: Mailing
502, Richie Road, Bel-Aire Subdivision, Cabot, Lonoke County, Arkansas, 72023, United States
CABOT, AR 720233309
Phone: (501) 941-0940
Fax: (501) 941-1875
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-09-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070711000858 | I | Clinical Social Worker | AR | TBD |
| I20210910001798 | I | Clinical Social Worker | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 131 | 17 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 18 | 18 | $0 |
Insurance plans in this area (ZIP 72023)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | AR | |
| P S Y C H I A T R Y | AR | |
| Clinical Psychologist | AR | |
| Mental Health Counselor | AR | |
| - | AR | |
| Clinical Psychologist | AR | |
| Mental Health Counselor | AR | |
| Mental Health Counselor | AR | |
| - | AR | |
| Nurse Practitioner | AR |
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