Individual provider Active NPI

Joan E. Tucker, LISW

  • Clinical Social Worker
  • Whitehall, OH
National Provider Identifier
1801189428
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0004036 Issued in OH
Practice address
3964 E Main St
Whitehall, OH 43213-2949
Phone
(614) 589-5943
Fax
(614) 237-9736
NPI assigned
May 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I0004036 OH Primary

Addresses

Primary practice location

3964 E Main St
Whitehall, OH 43213-2949

Mailing address

2774 Talisman CT
Columbus, OH 43209-3166
Phone (614) 216-0821

Other identifiers 2

IdentifierTypeStateIssuer
0302424MedicaidOH
0245136MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20171018003024 OH Practitioner - Clinical Social Worker 6103192109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

428 E Main St
Columbus, OH 43215-5344
Phone (614) 589-5943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0004036OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Branch Counseling Center, LLC Professional CurrentSince Apr 1, 2017 Accepting new patients

Locations

428 E Main St
Columbus, OH 43215
Phone (614) 237-7237

3964 E Main St
Whitehall, OH 43213
Phone (614) 252-2500

Organizations & group practices 1

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": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1801189428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 TALISMAN CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432093166",
            "telephone_number": "614-216-0821",
            "fax_number": "614-237-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 E MAIN ST",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132949",
            "telephone_number": "614-589-5943",
            "fax_number": "614-237-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JOAN",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0004036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0302424",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245136",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, OH

Sources for this page

Verify at the official NPI Registry.