Organization · Type 2 NPI
Brody Tucker LCSW LLC
Clinical Social Worker · Portland, OR
Practice location
1253 NE 112th Ave
Portland, OR 97220-3021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1932003316
Brody Tucker LCSW LLC's National Provider Identifier is 1932003316, issued on Oct 7, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Oct 7, 2026.