Active NPI
Erin Tucker, LCSW
- Clinical Social Worker
- Wendell, NC
National Provider Identifier
1881183085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009316
- Practice address
- 119 Griffin Dr
Wendell, NC 27591-8020 - Phone
- (919) 749-1087
- NPI assigned
- May 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | C009316 | NC | Primary |
Addresses
Primary practice location
119 Griffin Dr
Wendell, NC 27591-8020
Mailing address
119 Griffin Dr
Wendell, NC 27591-8020
Phone (919) 749-1087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C009316 | Other | NC | NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD |
Other names 1
- Erin Thomas
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- erintucker@tdh.allscriptsdirect.net
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": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1881183085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 GRIFFIN DR",
"city": "WENDELL",
"state": "NC",
"postal_code": "275918020",
"telephone_number": "919-749-1087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 GRIFFIN DR",
"city": "WENDELL",
"state": "NC",
"postal_code": "275918020",
"telephone_number": "919-749-1087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "ERIN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-03",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD",
"identifier": "C009316",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "THOMAS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wendell, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.