Individual provider · Type 1 NPI
Denise Renae Tucker, LCSW
Mental Health Clinic/Center (Including Community Mental Health Center) · Newark, NJ
NPI number
1477820918
Active · reactivated Dec 10, 2018
Practice location
155-157 Mount Pleasant Ave
Newark, NJ 07104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05489700 (NJ) |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
3 other providers at this address
About NPI 1477820918
Denise Renae Tucker, LCSW's National Provider Identifier is 1477820918, issued on Nov 29, 2011. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Newark, NJ. The record was last updated on Dec 10, 2018.