Robert D Tucker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007571 Issued in GA

Practice address

120 Mandy Dr
Athens, GA 30601-2117

Phone

(706) 352-9482

NPI assigned

May 3, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Robert D Tucker Professional name

Medicare fee-for-service enrollment

Enrolled in GA

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

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.

• Tucker Consulting

  • Clinical Social Worker
  • Athens, GA
  • NPI 1265109284
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1326621756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MANDY DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012117",
            "telephone_number": "706-352-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MANDY DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012117",
            "telephone_number": "706-352-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "TUCKER",
            "middle_name": "D",
            "credential": "ROBERT D TUCKER LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• True Comfort Care Home 6
• Marla S Tschepikow, MD
• Milos Tucakovic, MD
• Tucker Consulting
• Nancy Tucker, WHNP
• James Quinten Tuckfield, DO
• Christopher Tufts, M.D
• Elizabeth Campbell Tully
• Audra Kimberly Turbeville, FNP-C
• Turner Round Therapy, LLC

• Clinical Social Worker in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.