Andrew J Tucker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092165 Issued in NY

Practice address

119 W 57TH St Ste 1100
New York, NY 10019-2401

Phone

(646) 504-6212

NPI assigned

Oct 25, 2021

Sex

Male

Sole proprietor

Yes

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1699439794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 1100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192401",
            "telephone_number": "646-504-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 1100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192401",
            "telephone_number": "646-504-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ANDREW",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-02-20",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Tuchman, LICSW
• Mario Tuchman, D.M.D.,M.D.
• Micole Tuchman, MD
• Adia Tucker, MSED.
• Allison Tucker
• Cheryl S Tucker, PHD
• Claire Johnston Tucker, PA-C
• Emma Grace Tucker, MD
• Jane Tucker, PHD
• Jillian Tucker, LCSW, DSW

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.