ELLEN WALL TUCKER LCSW
NPI 1124291315
Social Worker - Clinical in Boulder, CO

Active since April 08, 2008
4800 RIVERBEND RD, SUITE 200, BOULDER, CO 80301(303) 415-8850(303) 415-8870 Get Directions Write a Review

NPPES record last updated: November 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2017, Dec 19, 2016, Nov 11, 2015 (3 updates tracked since 2015).

About Ellen Wall Tucker Lcsw NPPES

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

ELLEN WALL TUCKER LCSW (NPI 1124291315) is an individual clinical provider in Boulder, Colorado, licensed in Colorado (CSW.00000120) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1124291315
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN WALL TUCKERCredential: LCSW
Location Address4800 RIVERBEND RD, SUITE 200Boulder, CO 80301-2636
Mailing Address5450 Western AveBoulder, CO 80301-2709 · (303) 415-8850 · Fax (303) 415-8870
Fax(303) 415-8870
Sole ProprietorNo
Enumeration DateApril 8, 2008
Last NPPES UpdateNovember 10, 20173 updates tracked since enumeration
NPI 1124291315 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 CO · CSW.00000120
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.

4800 RIVERBEND RD, Boulder, CO 80301

Other Identifiers 2

Medicare PIN265758YLL6CO
Medicaid71927760CO

Other Providers at the Same Location NPPES 7

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

Midwife
4800 RIVERBEND RD, SUITE 150
BOULDER, CO 80301
Obstetrics & Gynecology (Gynecology)
4800 RIVERBEND RD, SUITE 200
BOULDER, CO 80301
Internal Medicine (Infectious Disease)
4800 RIVERBEND RD, SUITE 200
BOULDER, CO 80301
Internal Medicine (Infectious Disease)
4800 RIVERBEND RD, SUITE 200
BOULDER, CO 80301
Nurse Practitioner (Family)
4800 RIVERBEND RD, SUITE 200
BOULDER, CO 80301
Internal Medicine (Infectious Disease)
4800 RIVERBEND RD, SUITE 200
BOULDER, CO 80301
Internal Medicine (Infectious Disease)
4800 RIVERBEND RD, SUITE 200
BOULDER, CO 80301

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 Ellen Tucker's NPI number?

The NPI number for Ellen Tucker is 1124291315. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is Ellen Tucker located?

Ellen Tucker practices at 4800 Riverbend Rd Suite 200, Boulder, CO 80301. The listed phone number is (303) 415-8850.

What is Ellen Tucker's specialty?

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

When was this NPI record last updated?

The NPPES record for Ellen Tucker was last updated on November 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.