Active NPIIndividual providerSole proprietor

Jeffrey Tucker, LCSW

Social Worker, Clinical in Maplewood, New Jersey

NPI Number1225629694
Practice location
2130 Millburn Ave, Maplewood, NJ 07040-3725
Fax
—
Last updated
January 28, 2021

Jeffrey Tucker is a Social Worker, Clinical based in Maplewood, NJ. Jeffrey Tucker practices in Maplewood, NJ and has the professional credentials of LCSW. The NPI Number for Jeffrey Tucker is 1225629694 and holds a License No. 44SC05762700 (NJ). The current practice location address for Jeffrey Tucker is 2130 Millburn Ave, Maplewood, NJ 07040-3725 and can be reached out via phone at 646-382-7410.

Provider Profile Details

NPI Number
1225629694
Provider Name
Jeffrey Tucker
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
2130 Millburn Ave, Maplewood, NJ 07040-3725
Phone Number
646-382-7410
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 28, 2021
Last Update Date
January 28, 2021
Certification Date
January 28, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2130 Millburn Ave
Maplewood, NJ 07040-3725
Zip
07040-3725
Phone Number
646-382-7410
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
Po Box 874
Hillside, NJ 07205-0874
City
Hillside
State
NJ
Zip
07205-0874
Phone Number
646-382-7410

License Information

License Number
44SC05762700
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Maplewood, NJ

View all Social Worker, Clinical providers in Maplewood →

Frequently Asked Questions

What is the NPI number of Jeffrey Tucker, LCSW?

The NPI number of Jeffrey Tucker, LCSW is 1225629694. It was assigned on January 28, 2021 and is currently active in the NPPES registry.

What is the specialty of Jeffrey Tucker, LCSW?

Jeffrey Tucker, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05762700.

Where does Jeffrey Tucker, LCSW practice?

The practice location is 2130 Millburn Ave, Maplewood, NJ 07040-3725. The office can be reached at 646-382-7410 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225629694 directly on the NPPES registry website.

Browse related providers