Active NPIIndividual provider

Keish M Tucker, LCSW

Social Worker, Clinical in Blackwood, New Jersey

NPI Number1982973244
Practice location
875 Erial RD, Blackwood, NJ 08012-3931
Fax
—
Last updated
May 8, 2020

Keish Malyn Tucker is a Social Worker, Clinical based in Blackwood, NJ. Keish Malyn Tucker practices in Blackwood, NJ and has the professional credentials of LCSW. The NPI Number for Keish Malyn Tucker is 1982973244 and holds a License No. 44SC05314300 (NJ). The current practice location address for Keish Malyn Tucker is 875 Erial RD, Blackwood, NJ 08012-3931 and can be reached out via phone at 856-227-1400.

Provider Profile Details

NPI Number
1982973244
Provider Name
Keish Malyn Tucker
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
875 Erial RD, Blackwood, NJ 08012-3931
Phone Number
856-227-1400
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Keish Malyn Parker, LCSW (Former Name)
Provider Enumeration Date
December 15, 2011
Last Update Date
May 8, 2020
Certification Date
May 8, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
875 Erial RD
Blackwood, NJ 08012-3931
Zip
08012-3931
Phone Number
856-227-1400
Blackwood, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
875 Erial RD
Blackwood, NJ 08012-3931
City
Blackwood
State
NJ
Zip
08012-3931
Phone Number
856-227-1400

License Information

License Number
44SC05314300
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.

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Frequently Asked Questions

What is the NPI number of Keish M Tucker, LCSW?

The NPI number of Keish M Tucker, LCSW is 1982973244. It was assigned on December 15, 2011 and is currently active in the NPPES registry.

What is the specialty of Keish M Tucker, LCSW?

Keish M Tucker, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05314300.

Where does Keish M Tucker, LCSW practice?

The practice location is 875 Erial RD, Blackwood, NJ 08012-3931. The office can be reached at 856-227-1400 (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 1982973244 directly on the NPPES registry website.

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