Provider Demographics
NPI:1609650571
Name:TIBBITTS, DESS JOSHUA (LCSW)
Entity Type:Individual
Prefix:
First Name:DESS
Middle Name:JOSHUA
Last Name:TIBBITTS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:JOSH
Other - Middle Name:
Other - Last Name:TIBBITTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JOSH TIBBITTS, LCSW
Mailing Address - Street 1:1380 EAST AVE STE 124
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-7349
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5125 SKYWAY
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-5624
Practice Address - Country:US
Practice Address - Phone:530-872-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1096641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical