Individual provider Active NPI

Sandie Tucker, MSW, LCSWA

  • Clinical Social Worker
  • Asheboro, NC
National Provider Identifier
1659130862
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020294 Issued in NC
Practice address
523 W Walker Ave
Asheboro, NC 27203-6252
Phone
(336) 629-4141
Fax
(336) 629-3761
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

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

State licenses

LicenseStateTypeSpecialty
P020294NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc CurrentSince Oct 20, 2024 Accepting new patients
Tides Counseling and Wellness, PLLC Clinical CurrentSince Mar 1, 2024 Accepting new patients

Locations

523 W Walker Ave
Asheboro, NC 27203
Phone (336) 629-4141

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

2121 Eastchester Dr
Ste 105
High Point, NC 27265
Phone (336) 332-2277

Interoperability endpoints

  • Direct secure messaging: stucker747853@direct.ochin.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P020294 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

523 W Walker Ave
Asheboro, NC 27203-6252

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1907

Other practice location 1

1104A S Main St
Lexington, NC 27292-3134
Phone (336) 242-2450

Other practice location 2

2121 Eastchester Dr Ste 105
High Point, NC 27265-1535
Phone (336) 332-2277

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2025.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1659130862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 W WALKER AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036252",
            "telephone_number": "336-629-4141",
            "fax_number": "336-629-3761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104A S Main St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272923134",
            "country_code": "US",
            "telephone_number": "336-242-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 Eastchester Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272651535",
            "country_code": "US",
            "telephone_number": "336-332-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SANDIE",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

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