Patricia A Tucker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00008653 Issued in WA

Practice address

1211 4TH Ave E Ste 200
Olympia, WA 98506-4280

Phone

(360) 570-1161

Fax

(360) 786-1089

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2017 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1063563856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 4TH AVE E STE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064280",
            "telephone_number": "360-570-1161",
            "fax_number": "360-786-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 4TH AVE E STE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064280",
            "telephone_number": "360-570-1161",
            "fax_number": "360-786-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Yi Tsien, M.D.
• Sophia Tsirigotis, M.D.
• Mahesh Tubati, MD
• Sarah Jean Tubbs, LAC
• Jamee Tucker, RN, MHP
• Athena Tudino, MD
• Mary Antonette Nuto Tull, FNP-C
• Sarah Tung, ND, LAC
• Todd Turetsky, L.AC
• Madison L Turner-Cole, AUD

• Clinical Social Worker in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.