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Contact Information

KYLE S TUCKER, LMSW
13975 WEST GRAND AVE
#101
SURPRISE, AZ85374
 Phone: 623-266-8490
 Fax: 623-398-6094
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KYLE S TUCKER · (Male)

NPI # 1306501648
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 11/02/2021
Last updated 06/23/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # LMSW-15716
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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