CAROLYN TUCKER (NPI# 1427032887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427032887 |
| Entity Type | Individual |
| Full Name | CAROLYN TUCKER |
| Credential | LCSW |
| Practice Address |
289 Independence Blvd Pembroke 3 Ste 221 Virginia Beach VA 23462-5493 |
| Practice Telephone | 7574989320 |
| Practice Fax Number | 7574989321 |
| Mailing Telephone | 7574989320 |
| Mailing Fax Number | 7574989321 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 0904004154 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SENTURA | O83404 | 01 |
| VA | COMPSYCH | 167204 | 01 |
| VA | VALU OPTIONS | 542585 | 01 |
| VA | ANTHEM | 451818 | 01 |
| VA | CIGNA | 2040657 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053688143 | Carolyn Rose Tucker | Counselor | 1009 Milstead Ave Ne Ste 210, Conyers, GA 30012-4510 | 2011-11-17 |
| 1083960686 | Carolyn Cholet Tucker | Pharmacist | 1705 S Highway 97, Redmond, OR 97756-9647 | 2012-08-01 |
| 1548435548 | Carolyn Tucker | Physical Therapist | 3703 W Lake Ave, Suite 200, Glenview, IL 60026-5823 | 2008-04-30 |
| 1821296930 | Carolyn Gail Tucker | Social Worker | 100a W Dean Keeton St, 1 University Station A3500, Austin, TX 78712-1002 | 2007-07-10 |
| 1083820088 | Carolyn Jean Tucker | Counselor | 17 Pacific St, St Augustine, FL 32084-2753 | 2007-05-15 |
| 1275551715 | Carolyn M Tucker | Psychologist | 1600 Sw Archer Rd, Gainesville, FL 32610-0237 | 2006-07-17 |
| 1821038993 | Carolyn J. Tucker | Nurse Practitioner | 909 Jefferson St, Jefferson City, MO 65101-2945 | 2006-06-07 |
| Street Address |
289 INDEPENDENCE BLVD PEMBROKE 3 STE 221 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-5493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811998016 | Sreeja Kadakkal | Specialist | 289 Independence Blvd, Ste 312, Virginia Beach, VA 23462-5493 | 2005-08-10 |
| 1942651161 | Demaris Santiago | Social Worker | 289 Independence Blvd, Suite 245, Virginia Beach, VA 23462-5493 | 2016-06-29 |
| 1477926368 | Sarah Mitchell | Counselor | 289 Independence Blvd, Suite 245, Virginia Beach, VA 23462-5493 | 2015-11-02 |
| 1538535109 | Elizabeth A Custodero | Social Worker | 289 Independence Blvd, Suite 312, Virginia Beach, VA 23462-5493 | 2015-08-18 |
| 1912389909 | Kyle Keller | Counselor | 289 Independence Blvd, Ste 312, Virginia Beach, VA 23462-5493 | 2015-06-25 |
| 1447652375 | Denise Smith | Social Worker | 289 Independence Blvd, Suite 312, Virginia Beach, VA 23462-5493 | 2014-09-23 |
| 1487054961 | Tiana Minter | Social Worker | 289 Independence Blvd, Suite 245, Virginia Beach, VA 23462-5493 | 2014-09-03 |
| 1891105037 | Jessica Malone | Counselor | 289 Independence Blvd, Suite 312, Virginia Beach, VA 23462-5493 | 2014-04-28 |
| 1164842423 | Melissa Mary Caldwell | Social Worker | 289 Independence Blvd, Pembroke 3 Suite 221, Virginia Beach, VA 23462-5493 | 2014-04-24 |
| 1326464173 | Margaret Mary Morris | Counselor | 289 Independence Blvd, Suite 312, Virginia Beach, VA 23462-5493 | 2014-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467981605 | Miriam Nayeli Ascencio | Social Worker | 120 Bowery St Apt 208, Virginia Beach, VA 23462-3757 | 2017-06-10 |
| 1386067445 | Bethany Christian Services | Social Worker | 287 Independence Blvd Ste 241, Virginia Beach, VA 23462-2956 | 2014-01-27 |
| 1568891745 | Heather Ness | Social Worker | 559 Cape Henry Rd, Virginia Beach, VA 23451-8301 | 2013-11-07 |
| 1104174234 | Joann Michelle Bradford | Social Worker | 544 Glen Ridge Rd, Suite 201, Virginia Beach, VA 23452 | 2012-08-21 |
| 1336339886 | Lisa Faye Cowan | Social Worker | 748 Lord Dunmore Dr, Suite 107, Virginia Beach, VA 23464-2664 | 2007-07-31 |
| 1902911209 | Sandra Jean Coplon | Social Worker | One Columbus Center, Suite 679, Virginia Beach, VA 23462 | 2006-08-20 |
| 1043811623 | Deanna Herbol | Social Worker | 1064 Laskin Rd Ste 14c, Virginia Beach, VA 23451-6337 | 2020-11-02 |
| 1013521558 | Brittany Hill | Social Worker | 412 Investors Pl Ste 102, Virginia Beach, VA 23452-1185 | 2020-09-02 |
| 1801452958 | Restorative Psychotherapy & Wellness LLC | Social Worker | 3630 S Plaza Trl Ste 150a, Virginia Beach, VA 23452-3371 | 2019-05-14 |
| 1366904385 | Kimberly Vaughan Willett | Social Worker | 1 Columbus Ctr Ste 600, Virginia Beach, VA 23462-6760 | 2019-04-01 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
Please comment or provide details below to improve the information on CAROLYN TUCKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.