Active NPI
Timothy Tucker, MSW
- Social Worker
- Winter Park, FL
National Provider Identifier
1043875966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12569
- Practice address
- 2479 Aloma Ave
Winter Park, FL 32792-2541 - Phone
- (407) 657-6692
- Fax
- (407) 894-6010
- NPI assigned
- May 6, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12569 | FL | Primary |
Addresses
Primary practice location
2479 Aloma Ave
Winter Park, FL 32792-2541
Mailing address
687 Carriage House LN Apt 309
Altamonte Springs, FL 32714-1892
Phone (407) 780-9785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12569 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1043875966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "687 CARRIAGE HOUSE LN APT 309",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327141892",
"telephone_number": "407-780-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2479 ALOMA AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327922541",
"telephone_number": "407-657-6692",
"fax_number": "407-894-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "TIMOTHY",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-06",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "12569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.