Carolyn Gail Tucker, RN., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

36306 Issued in TX

Practice address

100A W Dean Keeton St
1 University Station A3500
Austin, TX 78712-1002

Phone

(512) 475-6940

Fax

(512) 471-8875

NPI assigned

Jul 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cary Tucker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1821296930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E 40TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787515104",
            "telephone_number": "512-451-5310",
            "fax_number": "512-451-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100A W DEAN KEETON ST",
            "address_2": "1 UNIVERSITY STATION A3500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121002",
            "telephone_number": "512-475-6940",
            "fax_number": "512-471-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CAROLYN",
        "middle_name": "GAIL",
        "credential": "RN., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "36306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARY",
            "last_name": "TUCKER",
            "credential": "RN., LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elaine Grace Tuccio, LCSW
• Jeanine A. Tucker-Love, RPH
• Amanda Tucker, SLP
• Brian David Tucker, D.M.D.
• Byron Collin Tucker, M.D.
• David M Tucker, PH.D.
• John David Tucker
• Landry Ross Tucker, PA-C
• Morelle Mae Tucker, PA-C
• Paul Anthony Tucker II, M.D.

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.