Individual provider · Type 1 NPI

Tennille Louise Tucker

Clinical Social Worker · San Carlos, CA

NPI number 1972646214 Active

Practice location

550 Quarry Rd
San Carlos, CA 94070-6221

Call (650) 508-6780 Map

Fax (650) 598-2860

Mailing address

346 Railroad Ave, Lower Level
South San Francisco, CA 94080-4705

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X29353 (CA)
Clinical Social Worker Primary 1041C0700XNone 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 1972646214

Tennille Louise Tucker's National Provider Identifier is 1972646214, issued on Feb 15, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Carlos, CA. The record was last updated on Mar 10, 2021.