Active NPI
Bobbi Jo Tucker, LCSW
- Clinical Social Worker
- Hannibal, MO
National Provider Identifier
1811619760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2020041566
- Practice address
- 1221 Broadway
Hannibal, MO 63401-4005 - Phone
- (576) 221-2111
- NPI assigned
- Sep 16, 2022
- Last updated
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2020041566 | MO | Primary |
Addresses
Primary practice location
1221 Broadway
Hannibal, MO 63401-4005
Mailing address
3311 Deerfield Rd
Hannibal, MO 63401-2759
Phone (573) 719-7525
Other names 1
- Bobbi Jo Alexander
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020041566 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1811619760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 DEERFIELD RD",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634012759",
"telephone_number": "573-719-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 BROADWAY",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634014005",
"telephone_number": "576-221-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "BOBBI",
"middle_name": "JO",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-16",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2020041566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BOBBI",
"last_name": "ALEXANDER",
"middle_name": "JO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.