Fartima Tucker, L.M.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094903 Issued in MI

Practice address

35230 E Michigan Ave
Wayne, MI 48184-3698

Phone

(313) 303-7423

Fax

(734) 345-4104

NPI assigned

Oct 12, 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

Other identifiers 1

Other names 1

• Mrs. Fartima Tucker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tuckerville

  • Clinical Social Worker
  • Wayne, MI
  • NPI 1437626454
  NPD Authorized official
• Tuckerville Transitions Org

  • Clinical Social Worker
  • Wayne, MI
  • NPI 1740853951
  NPD Authorized official
• Tuckerville.LLC

  • Home Health Agency
  • Wayne, MI
  • NPI 1063870293

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1396097457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481120125",
            "telephone_number": "313-303-7423",
            "fax_number": "734-345-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35230 E MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481843698",
            "telephone_number": "313-303-7423",
            "fax_number": "734-345-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "FARTIMA",
        "name_prefix": "Mrs.",
        "credential": "L.M.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094903",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8025368",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARTIMA",
            "last_name": "TUCKER",
            "prefix": "MRS.",
            "credential": "L.M.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alayna Todd
• Kia Tolbert
• Tracy Lynn Tomlinson-Bathgate, CRNA
• Telecia Tomlinson
• Ana-Maria Tsourapas, PA
• Tuckerville
• Tuckerville Transitions
• Tuckerville Transitions Org
• Tuckerville.LLC
• Catherine Turner, RN

• Clinical Social Worker in Wayne, MI
• Providers in Wayne, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.