Tennille Louise Tucker, is a
Social Worker - Clinical based in San Carlos, California. Tennille Louise Tucker is licensed to practice in * (Not Available) (license number ) and her current practice location is
550 Quarry Rd, San Carlos, California. She can be reached at her office (for appointments etc.) via phone at
(650) 508-6780.
NPI number for Tennille Louise Tucker is 1972646214 and her current mailing address is 346 Railroad Ave, Lower Level, South San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972646214.
Healthcare Provider's Profile
| Full Name | Tennille Louise Tucker |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 550 Quarry Rd, San Carlos, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972646214
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 03/10/2021
Medical Identifiers
Medical identifiers for Tennille Louise Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972646214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 29353 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Tennille Louise 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 |
|---|
Tennille Louise Tucker,
346 Railroad Ave, Lower Level,
South San Francisco, CA 94080-4705
Ph: () - | Tennille Louise Tucker,
550 Quarry Rd,
San Carlos, CA 94070-6221
Ph: (650) 508-6780 |
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