Active NPI
Tuckerville Transitions
Doing business as Fartima Tucker
- Clinical Social Worker
- Wayne, MI
National Provider Identifier
1710505953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8025368 | Medicaid | MI |
Other names 1
- FARTIMA TUCKER
National Provider Directory
National Provider DirectoryLocations
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.