Breanna Tuck Gammon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108719 Issued in TX

Practice address

3200 Sanguinet St
Fort Worth, TX 76107-5355

Phone

(817) 255-2500

NPI assigned

Feb 3, 2025

Last updated

Oct 15, 2025By the provider in NPPES

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

• Breanna Michelle Tuck Former name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lena Pope Home, Inc.

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1093856924

  Clinical

  Medicare reassignment NPD
• Tuck Therapies, PLLC

  • Clinical Social Worker
  • Cleburne, TX
  • NPI 1326901034
  NPD
• Pecan Valley MHMR Region

  • Community/Behavioral Health Agency
  • Granbury, TX
  • NPI 1891915708

  Clinical

  NPD (past)

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1174337919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13509 STAGE COACH LN",
            "city": "CRESSON",
            "state": "TX",
            "postal_code": "760354227",
            "telephone_number": "817-932-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SANGUINET ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075355",
            "telephone_number": "817-255-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13509 Stage Coach Ln",
            "address_purpose": "LOCATION",
            "city": "Cresson",
            "state": "TX",
            "postal_code": "760354227",
            "country_code": "US",
            "telephone_number": "817-932-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMMON",
        "first_name": "BREANNA",
        "middle_name": "TUCK",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "TUCK",
            "middle_name": "MICHELLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yvonne Yvette Gamez, MS CCC-SLP
• Safinaz Gamini, OD
• Michael Scott Gammage, BCBA
• Raven Idelle Gammage, OTD, OTR/L
• Christina Lashell Gammer, RN
• Anand Ganapathy
• Suomi Lopez Gandara, SLP-A
• Artee Gandhi, MD
• Geet Bhaskar Gandhi, D.O.
• Rajesh Ramesh Gandhi, M.D.

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.