Craig Allen Tucker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS20312 Issued in CA

Practice address

333 E Stuart Ave
Suite F
Redlands, CA 92374-4440

Phone

(909) 389-2414

Fax

(909) 353-4982

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1295845667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E STUART AVE",
            "address_2": "SUITE F",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744440",
            "telephone_number": "909-389-2414",
            "fax_number": "909-353-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E STUART AVE",
            "address_2": "SUITE F",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744440",
            "telephone_number": "909-389-2414",
            "fax_number": "909-353-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CRAIG",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Truong, PHARMD
• Lien T Truong, D.D.S.
• Trang T. Truong, M.D.
• Stella Tu, OD
• Jill Anne Tubbs, NURSE PRACTITIONER
• Lisa Tucker
• Stacy Marie Tucker, RN
• Loreta Salum Tuparan, FNP
• Turner Nursing Anesthesia, Inc, a Professional Corporation
• Brittany G Turner

• Clinical Social Worker in Redlands, CA
• Providers in Redlands, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.