Gennie Tucker, LCSW is a
Behavior Analyst based in Bountiful, Utah. Gennie Tucker is licensed to practice in Utah (license number 74547942506) and her current practice location is
415 Medical Dr Ste D101, Bountiful, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 683-1062.
NPI number for Gennie Tucker is 1295147023 and her current mailing address is 555 E 4500 S, Suite 150 C, Salt Lake City, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295147023.
Healthcare Provider's Profile
Full Name | Gennie Tucker |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 415 Medical Dr Ste D101, Bountiful, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295147023
- Provider Enumeration Date: 05/28/2014
- Last Update Date: 11/12/2018
Medical Identifiers
Medical identifiers for Gennie Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295147023 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 74547943501 (Utah) | Secondary |
103K00000X | Behavior Analyst | 74547942506 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gennie Tucker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gennie Tucker, LCSW 555 E 4500 S, Suite 150 C, Salt Lake City, UT 84107-4533 Ph: (801) 288-0747 | Gennie Tucker, LCSW 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 Ph: (801) 683-1062 |
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