Individual provider Active NPI

Melinda Robin Tucker, LCSW

  • Clinical Social Worker
  • Frankfort, KY
National Provider Identifier
1063763738
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258640 Issued in KY
Practice address
306 W Main St Ste 512
Frankfort, KY 40601-1840
Phone
(574) 546-1900
Fax
(574) 546-1999
NPI assigned
Sep 21, 2012
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9315 TN
Clinical Social Worker 1041C0700X SW9340 FL
Clinical Social Worker 1041C0700X 258640 KY Primary

Addresses

Primary practice location

306 W Main St Ste 512
Frankfort, KY 40601-1840

Mailing address

4016 Crestwood Manor Dr
New Smyrna Beach, FL 32168-9006
Phone (321) 626-6550

Other practice location 1

4016 Crestwood Manor Dr
New Smyrna Beach, FL 32168-9006
Phone (321) 626-6550

Other practice location 2

6000 Poplar Ave
Memphis, TN 38119-3981
Phone (574) 546-1900

Other names 1

  • Melinda Robin Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240118003709 KY Practitioner - Clinical Social Worker 2163874728 Reassigns benefits to 1 organization
I20240806001542 TN Practitioner - Clinical Social Worker 2163874728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidestar Eldercare - TN, PCGroup PAC ID 8527413517, 20 clinicians

Practice addresses (Care Compare)

6000 Poplar Ave
Suite 250
Memphis, TN 38119-3974
Phone (574) 546-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW9340FLMDClinical Social Worker
9315TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Guidestar Eldercare - TN, P.C. Clinical CurrentSince May 24, 2024 Accepting new patients
Neurology and Pain Management Associates PC Clinical CurrentSince Jan 15, 2024 Accepting new patients

Locations

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

6000 Poplar Ave
Memphis, TN 38119
Phone (901) 292-7020

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1063763738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 CRESTWOOD MANOR DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321689006",
            "telephone_number": "321-626-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST STE 512",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011840",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4016 Crestwood Manor Dr",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "321689006",
            "country_code": "US",
            "telephone_number": "321-626-6550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193981",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MELINDA",
        "middle_name": "ROBIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9315",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9340",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "JONES",
            "middle_name": "ROBIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.