Individual provider · Type 1 NPI
Joshua Tucker, MSW, LICSW
Clinical Social Worker · Eden Prairie, MN
Practice location
11010 Prairie Lakes Dr Ste 350
Eden Prairie, MN 55344-3801
Mailing address
17088 Adelmann St SE Apt 312
Prior Lake, MN 55372-2281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 25639 (MN) |
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 1265035976
Joshua Tucker, MSW, LICSW's National Provider Identifier is 1265035976, issued on Nov 17, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eden Prairie, MN. The record was last updated on Nov 17, 2020.