Organization Active NPI

Tuckerville Transitions

Doing business as Fartima Tucker

  • Clinical Social Worker
  • Wayne, MI
National Provider Identifier
1710505953
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TUCKERVILLE TRANSITIONS
Doing business as
Fartima Tucker
Practice address
35230 E Michigan Ave
Wayne, MI 48184-3698
Phone
(313) 303-7423
NPI assigned
Jul 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Authorized official

Name
Mrs. Fartima Tucker, LMSW, CCTP, EAS-C
Title
Owner, Clinical Psycho-Therapist
Phone
(313) 303-7423

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
In Home Supportive Care Agency 253Z00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Child Mental Illness Respite Care 385HR2055X

Addresses

Primary practice location

35230 E Michigan Ave
Wayne, MI 48184-3698

Mailing address

PO Box 125
Belleville, MI 48112-0125
Phone (313) 312-5706

Other identifiers 1

IdentifierTypeStateIssuer
8025368MedicaidMI

Other names 1

  • FARTIMA TUCKER Doing business as

National Provider Directory

National Provider Directory

Locations

4952 Dewitt Rd
Canton, MI 48188
Phone (313) 312-5706

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741392000000",
    "number": "1710505953",
    "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": "313-312-5706"
        },
        {
            "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": "313-303-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKERVILLE TRANSITIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "FARTIMA",
        "authorized_official_title_or_position": "OWNER, CLINICAL PSYCHO-THERAPIST",
        "authorized_official_telephone_number": "313-303-7423",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW, CCTP, EAS-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "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": "FARTIMA TUCKER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.