Active NPIIndividual providerSole proprietor

Mrs. Dyna Tucker, LCSW

Social Worker, Clinical in Floral Park, New York

NPI Number1528579851
Practice location
110 Jericho Tpke Ste 212, Floral Park, NY 11001-2019
Fax
—
Last updated
May 7, 2024

Dyna Tucker is a Social Worker, Clinical based in Floral Park, NY. Dyna Tucker practices in Floral Park, NY and has the professional credentials of LCSW. The NPI Number for Dyna Tucker is 1528579851 and holds a License No. 08967801 (NY). The current practice location address for Dyna Tucker is 110 Jericho Tpke Ste 212, Floral Park, NY 11001-2019 and can be reached out via phone at 917-459-2431.

Provider Profile Details

NPI Number
1528579851
Provider Name
Dyna Tucker
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
110 Jericho Tpke Ste 212, Floral Park, NY 11001-2019
Phone Number
917-459-2431
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 13, 2017
Last Update Date
May 7, 2024
Certification Date
May 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Jericho Tpke Ste 212
Floral Park, NY 11001-2019
Zip
11001-2019
Phone Number
917-459-2431
Floral Park, NY 11001Get directions →

Provider Business Mailing Address Details

Address
2078 Pine St
North Baldwin, NY 11510-2619
City
North Baldwin
State
NY
Zip
11510-2619
Phone Number
917-459-2431

License Information

License Number (1)
08967801
License State (1)
NY
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
0940201
License State (2)
NY
Taxonomy (2)
Social Worker · 104100000X

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Mrs. Dyna Tucker, LCSW?

The NPI number of Mrs. Dyna Tucker, LCSW is 1528579851. It was assigned on October 13, 2017 and is currently active in the NPPES registry.

What is the specialty of Mrs. Dyna Tucker, LCSW?

Mrs. Dyna Tucker, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 08967801.

Where does Mrs. Dyna Tucker, LCSW practice?

The practice location is 110 Jericho Tpke Ste 212, Floral Park, NY 11001-2019. The office can be reached at 917-459-2431 (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 1528579851 directly on the NPPES registry website.

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