Individual provider · Type 1 NPI

Ellen Wall Tucker, LCSW

Clinical Social Worker · Boulder, CO

NPI number 1124291315 Active

Practice location

4800 Riverbend Rd, Suite 200
Boulder, CO 80301-2636

Call (303) 415-8850 Map

Fax (303) 415-8870

Mailing address

5450 Western Ave
Boulder, CO 80301-2709

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW.00000120 (CO)

Clinical Social Worker: 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 interpers…

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About NPI 1124291315

Ellen Wall Tucker, LCSW's National Provider Identifier is 1124291315, issued on Apr 8, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on Nov 10, 2017.