Individual provider · Type 1 NPI

Kelsey Tucker, LISW-CP

Clinical Social Worker · Myrtle Beach, SC

NPI number 1649931197 Active

Practice location

3876 Renee Dr Unit B
Myrtle Beach, SC 29579-4108

Mailing address

1016 Harvester Cir
Myrtle Beach, SC 29579-3288

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X16732 (SC)

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 1649931197

Kelsey Tucker, LISW-CP's National Provider Identifier is 1649931197, issued on Jan 6, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Myrtle Beach, SC. The record was last updated on Oct 27, 2025.