Individual provider Active NPI

Tavinia Novella Tucker West, MSW, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1710791694
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09931253 Issued in CO
Practice address
2860 S Circle Dr
Colorado Springs, CO 80906-4113
Phone
(888) 816-1805
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09931253 CO Primary

Addresses

Primary practice location

2860 S Circle Dr
Colorado Springs, CO 80906-4113

Mailing address

918 N Institute St
Colorado Springs, CO 80903-2738
Phone (210) 374-6142

Other practice location 1

250 Fillmore St
Denver, CO 80206-5029
Phone (415) 424-4266

Other names 1

  • Tavinia Tucker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219001531 CO Practitioner - Clinical Social Worker 0648790816 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09931253COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Feb 17, 2025 Accepting new patients
Family Care Center, LLC CurrentSince Feb 17, 2025 Accepting new patients

Locations

2860 S Circle Dr
Fl 4
Colorado Springs, CO 80906
Phone (719) 540-2146

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

2860 S Circle Dr
Colorado Springs, CO 80906
Phone (719) 203-9581

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.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1710791694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 N INSTITUTE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032738",
            "telephone_number": "210-374-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S CIRCLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064113",
            "telephone_number": "888-816-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Fillmore St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802065029",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER WEST",
        "first_name": "TAVINIA",
        "middle_name": "NOVELLA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09931253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAVINIA",
            "last_name": "TUCKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.