Christina Dawn Tucker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C013734 Issued in NC

Practice address

2618 Shady Lawn Dr
Greensboro, NC 27408-3916

Phone

(336) 553-6665

NPI assigned

Jul 22, 2022

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1407581556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 SHADY LAWN DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083916",
            "telephone_number": "336-553-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 SHADY LAWN DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083916",
            "telephone_number": "336-553-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CHRISTINA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ching Ting Tu, DO
• Samantha Tubolino, OD
• Richard Charles Tuchman, DPM
• Athanette Tucker, MS, LCMHC-A
• Chelsea Alfonso Tucker, NP
• Danielle Quiara Tucker, REGISTERED NURSE
• Denise Anne Tucker, PH.D.
• Elizabeth Anne Tucker, MD
• Ginna Pike Tucker, PHARM.D., CPP
• Heather Tucker, RPH

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.