Titus S Tucker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17509 Issued in FL

Practice address

505 S Federal Hwy
Deerfield Beach, FL 33441-4109

Phone

(954) 794-6893

Fax

(954) 421-3595

NPI assigned

Aug 31, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Florida House Experience

  • Substance Abuse Rehabilitation Facility
  • Deerfield Beach, FL
  • NPI 1992189633
  Authorized official Same address or phone
• One Stop Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1952056780

  Clinical

  NPD
• Paradigm Counseling Associates LLC

  • Clinical Social Worker
  • Plantation, FL
  • NPI 1114646437
  NPD
• Deerfield Florida House, Inc

  • Substance Abuse Rehabilitation Facility
  • Deerfield Beach, FL
  • NPI 1649500182
  NPD (past)

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1912510702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414140",
            "telephone_number": "954-794-6893",
            "fax_number": "954-421-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S FEDERAL HWY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414109",
            "telephone_number": "954-794-6893",
            "fax_number": "954-421-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "TITUS",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SW17509",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttucker@fhehealth.com",
            "affiliation": "N",
            "address_1": "505 S Federal Hwy",
            "city": "Deerfield Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334414109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Constantine Gus Tsiapalis, DC
• Jacqueline Tsiapalis, DC
• Charlene Tucker, DPT
• Jamie Tucker
• Lois Lakesha Tucker
• Loris Christopher Tumay, BS
• Brittany Turner
• Gloria Marie Turner
• Michael Roy Turner, CRNA
• Mykia Deshawn Turner

• Clinical Social Worker in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.