SHANISE S TUCKER LMSW, ADC, HRS
NPI 1043163595
Counselor - Addiction (Substance Use Disorder) in Summerville, SC

Active since February 16, 2026
1905 CENTRAL AVE # A, SUMMERVILLE, SC 29483(843) 640-5470 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanise S Tucker Lmsw, Adc, Hrs NPPES

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

SHANISE S TUCKER LMSW, ADC, HRS (NPI 1043163595) is an individual addiction (substance use disorder) provider in Summerville, South Carolina, licensed in South Carolina (ADC-2360) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1043163595
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANISE S TUCKERCredential: LMSW, ADC, HRS
Location Address1905 CENTRAL AVE # ASummerville, SC 29483-9328
Mailing Address1905 Central Ave # ASummerville, SC 29483-9328 · (843) 640-5470
Sole ProprietorYes
Enumeration DateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
NPI 1043163595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in SC · ADC-2360
Also ListedSocial WorkerTaxonomy 104100000X · License 18466 (SC)
1905 CENTRAL AVE # A, Summerville, SC 29483

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 Shanise Tucker's NPI number?

The NPI number for Shanise Tucker is 1043163595. It was assigned to this individual provider in the NPPES registry on February 16, 2026.

Where is Shanise Tucker located?

Shanise Tucker practices at 1905 Central Ave # A, Summerville, SC 29483. The listed phone number is (843) 640-5470.

What is Shanise Tucker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shanise Tucker was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.