Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DENISE RENAE TUCKER, LCSW
Deactivated Sole ProprietorMRS. DENISE RENAE TUCKER, LCSW is a Mental Health Clinic healthcare provider located in NEWARK, New Jersey. NPI 1477820918 is deactivated in the NPPES registry. Verify at CMS.
Mental Health Clinic · NEWARK, NJ
This NPI has been deactivated.
The record was deactivated on December 6, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1477820918
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 29, 2011 (7.0191780821918 yrs)
- Last Updated
- Dec 10, 2018
- Deactivated
- Dec 6, 2018
- License
-
44SC05489700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
155-157 MOUNT PLEASANT AVENEWARK, NJ, 07104Browse NJ providers · Browse ZIP 07104
- Phone
- 9734831119
- Primary Specialty
-
Mental Health Clinic
261QM0801X
- Additional Specialty
- Mental Health Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.