Jillian Tucker, LCSW, DSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085241 Issued in NY

Practice address

56 W 45TH St FL 9
New York, NY 10036-4206

Phone

(212) 764-5178

NPI assigned

Aug 3, 2014

Sex

Female

Sole proprietor

No

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

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.

• Amavera LCSW PLLC

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1619602448
  NPD Authorized official
• Ackerman Institute for the Family

  • Marriage & Family Therapist
  • New York, NY
  • NPI 1467505792
  NPD (past)
• Ackerman Institute for the Family

  • Case Management Agency
  • New York, NY
  • NPI 1740680511
  NPD (past)

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

{
    "created_epoch": "1407024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1295144350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W 45TH ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364206",
            "telephone_number": "646-764-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W 45TH ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364206",
            "telephone_number": "212-764-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JILLIAN",
        "name_prefix": "Dr.",
        "credential": "LCSW, DSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-03",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085241",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Tucker
• Cheryl S Tucker, PHD
• Claire Johnston Tucker, PA-C
• Emma Grace Tucker, MD
• Jane Tucker, PHD
• Katherine Sierra Tucker, PA
• Lauren Tucker
• Marie Tucker, LMHC
• Mary L Tucker, LCSW
• Matthew Tucker

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.