Shannon Schou Tucker, LCSW, LAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9923319 Issued in CO

Practice address

1776 S Jackson St
Suite 700
Denver, CO 80210-3801

Phone

(970) 222-7478

NPI assigned

Sep 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1174874838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST",
            "address_2": "SUITE 700",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103801",
            "telephone_number": "970-222-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST",
            "address_2": "SUITE 700",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103801",
            "telephone_number": "970-222-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SHANNON",
        "middle_name": "SCHOU",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "287",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "9923319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Marie Tucker, LMFT
• Natalia Sedova Tucker, M.D.
• Patrick W Tucker, RPSGT
• Rebecca Hollis Tucker, LCSW
• S. Andrew Tucker, M.D.
• Stacy Ann Tuckwell, MPT
• Avery Marie Tudor, PA-C
• Beverly D. Tuel, PH.D.
• Matthew Tuffin, FNP
• James Charles Tuka III, LCSW

• Clinical Social Worker in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.