NICOLE TUCKER (NPI# 1568851038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568851038 |
| Entity Type | Individual |
| Full Name | NICOLE TUCKER |
| Credential | LCSW |
| Practice Address |
2291 W Broadway St Missoula MT 59808-2113 |
| Mailing Address |
607 Sw Higgins Ave Missoula MT 59803-1468 |
| Practice Telephone | 4065321615 |
| Mailing Telephone | 4065321900 |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9686 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578063590 | Nicole Noreen Tucker | Nurse Practitioner | 134 Mountainside Village Pkwy Bldg 500, Jasper, GA 30143-8694 | 2018-02-16 |
| 1083112049 | Nicole Tucker | Behavior Technician | 1900 E Los Angeles Ave # 100, Simi Valley, CA 93065-6560 | 2018-01-24 |
| 1497197636 | Nicole A. Tucker | Counselor | 719 E 84th St, Brooklyn, NY 11236-3501 | 2013-07-29 |
| 1679850911 | Nicole Tucker | Registered Nurse | 7532 W Judge Perez Dr, Arabi, LA 70032-1915 | 2011-11-15 |
| 1073700878 | Nicole M Tucker | Occupational Therapist | 320 Surrey Rdg, Eaton, CO 80615-8817 | 2007-09-26 |
| 1952510224 | Nicole Tucker | Lactation Consultant, Non-RN | 325 Nw Vermont St Ste 101, Bend, OR 97701-1916 | 2007-05-22 |
| 1952806291 | Nicole Elizabeth Tucker | Student in an Organized Health Care Education/Training Program | 123 Hendersonville Rd, Asheville, NC 28803-2868 | 2018-03-28 |
| 1649778812 | Nicole Ann Tucker | Counselor | 3312 W Kennedy Blvd, Tampa, FL 33609-2904 | 2018-01-23 |
| 1891211041 | Nicole Tucker | Speech-Language Pathologist | 860 Airport Fwy Ste 210, Hurst, TX 76054-3249 | 2017-08-18 |
| 1568802817 | Nicole Tucker | Physical Therapist | 1049 College Park Blvd, Virginia Beach, VA 23464-4468 | 2013-07-01 |
| Street Address |
2291 W BROADWAY ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043628332 | Deborah Maney | Counselor | 2291 W Broadway St, Missoula, MT 59808-2113 | 2014-07-30 |
| 1184005902 | Shannon Doane | Counselor | 2291 W Broadway St, Suite 5, Missoula, MT 59808-2113 | 2015-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| Find all providers in zip 59808 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736406 | Tawnya Cazier | Social Worker | 1325 River St Apt B, Missoula, MT 59801-1795 | 2020-10-01 |
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1063031557 | Taresa Janelle Spade | Social Worker | 613 Dixon Ave, Missoula, MT 59801-8623 | 2020-04-14 |
| 1518596006 | Heather Kim Stokes | Social Worker | 6309 Hillview Way, Missoula, MT 59803-3374 | 2020-04-06 |
| 1316582414 | Tiffany Becker | Social Worker | 4214 Hermione Ln, Missoula, MT 59808-5255 | 2019-11-12 |
| 1164066882 | Katherine Kosma Schwartz Lcsw Lac LLC | Social Worker | 2809 Great Northern Loop Ste 300, Missoula, MT 59808-1749 | 2019-11-06 |
| 1154972479 | Christopher E Clasby | Social Worker | 700 Sw Higgins Ave Ste 101, Missoula, MT 59803-1489 | 2019-09-27 |
| 1730730466 | Barbara Nan Cox | Social Worker | 706 Kensington Ave, Missoula, MT 59801-5720 | 2019-09-24 |
| 1750931234 | Melanie Rose Trost | Social Worker | 2308 Raymond Ave, Missoula, MT 59802-3510 | 2019-09-16 |
| 1124678180 | Jaclyn Grogan | Social Worker | 2339 Classic Ct, Missoula, MT 59801-1354 | 2019-09-12 |
| Find all providers in MISSOULA | ||||
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| 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.