Nichole Violet Tucker, LCSW
Individual provider Active NPI Clinical Social Worker · Lakeside Park, KY
NPI 1457072399 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1457072399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 257213 (KY)
- Practice address
- 2128 Chamber Center Dr
Lakeside Park, KY 41017-1669 - Phone
- (859) 331-6525
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257213 | KY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 257213 | KY | Yes |
Addresses
Primary practice location
2128 Chamber Center Dr
Lakeside Park, KY 41017-1669
Mailing address
937 Carters Chapel Rd
De Mossville, KY 41033-7502
Phone (859) 816-6734
Other providers in Lakeside Park, KY
- Seating Matters of Greater Cincinnati LLC
- Sarah Solomon
- St. Elizabeth Physicians
- Strategic Wellness, LLC
- Transcare of Kentucky, Inc.
- Jessica R Vaniglia
- Manuel Santos Villareal
- Susan Elizabeth Wallace
- Shannon Wehrman
- Emily M Woeste
All providers in Lakeside Park, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.