Individual provider · Type 1 NPI

Jessica Tucker

Clinical Social Worker · Middletown, NY

NPI number 1568084069 Active · reactivated Aug 27, 2025

Practice location

707 E Main St
Middletown, NY 10940-2650

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X44SC05840000 (NJ)
Clinical Social Worker Primary 1041C0700X083678-1 (NY)

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 1568084069

Jessica Tucker's National Provider Identifier is 1568084069, issued on May 7, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Middletown, NY. The record was last updated on Aug 27, 2025.