Active NPI
Camille Tuck
- Addiction (Substance Use Disorder) Counselor
- Ellendale, DE
National Provider Identifier
1366611758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 18514 Pentecostal St
Ellendale, DE 19941-3358 - Phone
- (302) 422-4229
- NPI assigned
- Feb 29, 2008
- Last updated
- Feb 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary |
Addresses
Primary practice location
18514 Pentecostal St
Ellendale, DE 19941-3358
Mailing address
18514 Pentecostal St
Ellendale, DE 19941-3358
Phone (302) 422-4229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1366611758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18514 PENTECOSTAL ST",
"city": "ELLENDALE",
"state": "DE",
"postal_code": "199413358",
"telephone_number": "302-422-4229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18514 PENTECOSTAL ST",
"city": "ELLENDALE",
"state": "DE",
"postal_code": "199413358",
"telephone_number": "302-422-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCK",
"first_name": "CAMILLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellendale, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.