Annie Lee Tucker, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006986 Issued in NC

Practice address

1601 Brenner Ave
Mail Code 122-Z
Salisbury, NC 28144-2515

Phone

(704) 597-3500

Fax

(704) 597-3586

NPI assigned

Sep 19, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1154571750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 W TYVOLA RD",
            "address_2": "MAIL CODE 122-HC",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082515",
            "telephone_number": "704-329-1300",
            "fax_number": "704-357-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BRENNER AVE",
            "address_2": "MAIL CODE 122-Z",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442515",
            "telephone_number": "704-597-3500",
            "fax_number": "704-597-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ANNIE",
        "middle_name": "LEE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK CERTIFICATION & LICENSURE BOARD",
            "identifier": "C006986",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Palms Consultants LLC
• Corinne Lucinda Triplett, RN
• Kelsey Tripp, M.ED, LAT, ATC
• Daniel Joseph Troyer
• Trucker'S Lane LLC
• Lee Jay Tucker, PHARMD; RPH
• Erin Rodgers Turner, DDS
• Gregg Harrison Tuttle, D.O.
• Tyler Brown DDS PLLC
• Tanya Hunt Tysinger

• Clinical Social Worker in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.