Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRODY TUCKER LCSW
NPI 1013309962
Social Worker - Clinical in Portland, OR

Active since March 02, 2015
1253 NE 112TH AVE, PORTLAND, OR 97220(971) 266-0801 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2026, Dec 22, 2021, Jan 22, 2019 (3 updates tracked since 2019).

About Brody Tucker Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRODY TUCKER LCSW (NPI 1013309962) is an individual clinical provider in Portland, Oregon, licensed in California (LCSW65719) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1013309962
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRODY TUCKERCredential: LCSW
Location Address1253 NE 112TH AVEPortland, OR 97220-3021
Mailing Address1253 Ne 112th AvePortland, OR 97220-3021
Sole ProprietorYes
Enumeration DateMarch 2, 2015
Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1013309962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW65719
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1253 NE 112TH AVE, Portland, OR 97220

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1253 NE 112TH AVE
PORTLAND, OR 97220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brody Tucker's NPI number?

The NPI number for Brody Tucker is 1013309962. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Brody Tucker located?

Brody Tucker practices at 1253 NE 112th Ave, Portland, OR 97220. The listed phone number is (971) 266-0801.

What is Brody Tucker's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Brody Tucker accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Brody Tucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brody Tucker was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.