Tuckerville

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TUCKERVILLE

Practice address

35230 E Michigan Ave
Wayne, MI 48184-3698

Phone

(313) 312-5706

Fax

(734) 345-4104

NPI assigned

Oct 29, 2018

Organization subpart

Yes

Parent organization

-As reported in NPPES

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

Authorized official

Name

Mrs. Fartima Tucker, PH.D, LMSW, CIMHPNPI 1396097457

Title

Clinical Psychotherapist

Phone

(313) 312-5706

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 3

• FARTIMA TUCKER Doing business as
• TUCKERVILLE.LLC Doing business as
• TUCKERVILLE LLC Former legal business name

Tax ID family

Tuckerville2 organizations share this tax ID, including this one

Part of

Tuckerville

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tuckerville.LLC

  • Home Health Agency
  • Wayne, MI
  • NPI 1063870293
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fartima Tucker, L.M.S.W

  • Clinical Social Worker
  • Wayne, MI
  • NPI 1396097457
  NPD Authorized official

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757721600000",
    "number": "1437626454",
    "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": "313-312-5706",
            "fax_number": "734-345-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKERVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2018-10-29",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "FARTIMA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "313-312-5706",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D, LMSW, CIMHP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8025368",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARTIMA TUCKER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TUCKERVILLE.LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TUCKERVILLE.LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TUCKERVILLE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kia Tolbert
• Tracy Lynn Tomlinson-Bathgate, CRNA
• Telecia Tomlinson
• Ana-Maria Tsourapas, PA
• Fartima Tucker, L.M.S.W
• Tuckerville Transitions
• Tuckerville Transitions Org
• Tuckerville.LLC
• Catherine Turner, RN
• Veronica Tyree

• 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 Sep 13, 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.