Individual provider · Type 1 NPI
Shanise S. Tucker, LMSW, ADC, HRS
Addiction (Substance Use Disorder) Counselor · Summerville, SC
NPI number
1043163595
Active
Practice location
1905 Central Ave # A
Summerville, SC 29483-9328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 18466 (SC) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ADC-2360 (SC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1043163595
Shanise S. Tucker, LMSW, ADC, HRS's National Provider Identifier is 1043163595, issued on Feb 16, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Summerville, SC. The record was last updated on Feb 16, 2026.