Individual provider · Type 1 NPI

Keish Malyn Tucker, LCSW

Clinical Social Worker · Blackwood, NJ

NPI number 1982973244 Active

Practice location

875 Erial Rd
Blackwood, NJ 08012-3931

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05314300 (NJ)

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 1982973244

Keish Malyn Tucker, LCSW's National Provider Identifier is 1982973244, issued on Dec 15, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Blackwood, NJ. The record was last updated on May 8, 2020.