Breana Tucker, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

9584 Issued in KS

Practice address

8080 E Central Ave Ste 320
Wichita, KS 67206-2389

Phone

(316) 927-3010

NPI assigned

Jul 28, 2023

Last updated

Jul 28, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haus of Clarity, LLC

  • Mental Health Counselor
  • Wichita, KS
  • NPI 1669830758
  NPD

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1841971207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10541 SONDRA CT",
            "city": "MAIZE",
            "state": "KS",
            "postal_code": "671014122",
            "telephone_number": "316-648-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 E CENTRAL AVE STE 320",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062389",
            "telephone_number": "316-927-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "BREANA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "9584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Tsosie
• Johanna Tsubaki, COTA/L
• Robert Tubbs, PHARMD
• Van Tubbs
• Nicholas Tuck
• David A Tucker, DO
• Lauren Tucker, RN
• Miranda Marie Tucker, RD, LD
• Steven Tucker, AGNP-C
• Tulsa Medical & LLC

• Social Worker in Wichita, KS
• Providers in Wichita, KS by specialty
• Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.