Individual provider · Type 1 NPI

Breanna Tuck Gammon, LCSW

Clinical Social Worker · Fort Worth, TX

NPI number 1174337919 Active

Practice location

3200 Sanguinet St
Fort Worth, TX 76107-5355

Mailing address

13509 Stage Coach Ln
Cresson, TX 76035-4227

Other practice locations

  • 13509 Stage Coach Ln, Cresson, TX 76035-4227 · (817) 932-0108

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X108719 (TX)

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 1174337919

Breanna Tuck Gammon, LCSW's National Provider Identifier is 1174337919, issued on Feb 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 15, 2025.