Katherine Tucker, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33011521A Issued in IN

Practice address

10080 E US Highway 36
Avon, IN 46123-8173

Phone

(317) 790-9396

NPI assigned

Feb 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kate Tucker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Care to Change, LLC

  • Mental Health Counselor
  • Avon, IN
  • NPI 1902304728
  NPD (past)

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1124883368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10080 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 E US HIGHWAY 36",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238173",
            "telephone_number": "317-790-9396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9292 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601857",
            "country_code": "US",
            "telephone_number": "317-790-9396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KATHERINE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33011521A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "TUCKER",
            "credential": "MSW, LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• True Coeur LLC
• True Faith Counseling
• True Heart Care LLC
• Tracy N Trussoni
• Katsiaryna Sergeevna Tsarova, MD
• Antonio Martinnez Turner Sr., O.D.
• Dyshavia Turner
• Kelvin Alan Turner
• Twatchai Yamcharern, M.D., P.C.
• Jamie R Ulbrich, M.D.

• Social Worker in Avon, IN
• Providers in Avon, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.