Individual provider · Type 1 NPI

Nicole Michele Duckwyler-Tucker, LLMSW

Clinical Social Worker · Southgate, MI

NPI number 1275304669 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Call (734) 785-7770 Map

Fax (734) 287-1953

Mailing address

6474 Seminole St # T
Detroit, MI 48213-2534

Other practice locations

  • 30150 Telegraph Rd Ste 245, Bingham Farms, MI 48025-4521 · (947) 217-4016

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X6851110120 (MI)
Clinical Social Worker Primary 1041C0700X6851110120 (MI)

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 1275304669

Nicole Michele Duckwyler-Tucker, LLMSW's National Provider Identifier is 1275304669, issued on Jan 15, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southgate, MI. The record was last updated on Sep 10, 2025.