Brody Tucker LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRODY TUCKER LCSW LLC

Practice address

1253 NE 112TH Ave
Portland, OR 97220-3021

Phone

(971) 266-0801

NPI assigned

Oct 7, 2026

Last updated

Oct 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brody Tucker, LCSWNPI 1013309962

Title

Owner

Phone

(971) 266-0801

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brody Tucker, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1013309962
  NPD (past) Authorized official

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1932003316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 NE 112TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 NE 112TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203021",
            "telephone_number": "971-266-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRODY TUCKER LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "BRODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-266-0801",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Aaron Brodsky, MD
• Peggy Brodsky
• Ruvin Gregory Brodsky, RDH
• Zoryana Logvin Brodsky, DMD
• Erik Brodt, M.D.
• Benjamin Lee Brody, M.D.
• Michael A. Brody, PMHNP
• Samantha L Brody, ND LAC
• Benjamin Broenen
• Rachel Broersma

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.