BREANNA TUCK GAMMON LCSW
NPI 1174337919
Social Worker - Clinical in Fort Worth, TX

Active since February 03, 2025PECOS Enrolled
3200 SANGUINET ST, FORT WORTH, TX 76107(817) 255-2500 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Breanna Tuck Gammon Lcsw NPPES

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

BREANNA TUCK GAMMON LCSW (NPI 1174337919) is an individual clinical provider in Fort Worth, Texas, licensed in Texas (108719) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cresson.

NPPES Registry Identity

NPI1174337919
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBREANNA TUCK GAMMONCredential: LCSW
Location Address3200 SANGUINET STFort Worth, TX 76107-5355
Mailing Address13509 Stage Coach LnCresson, TX 76035-4227 · (817) 932-0108
Sole ProprietorNo
Enumeration DateFebruary 3, 2025
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1174337919 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 TX · 108719
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.
3200 SANGUINET ST, Fort Worth, TX 76107

Other Names 1

Former Name (1)Breanna Michelle Tuck Lcsw

Secondary Practice Location 1

Location 113509 Stage Coach LnCresson, TX 76035-4227 · Phone (817) 932-0108

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Breanna Tuck Gammon Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.47 – $171.07
Typical copayment $0.00 (range $14.11 – $42.76)
Most-billed visit code NA
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
3200 SANGUINET ST
FORT WORTH, TX 76107
Social Worker (Clinical)
3200 SANGUINET ST
FORT WORTH, TX 76107
Social Worker (Clinical)
3200 SANGUINET ST
FORT WORTH, TX 76107
Social Worker (Clinical)
3200 SANGUINET ST
FORT WORTH, TX 76107
Counselor (Professional)
3200 SANGUINET ST
FORT WORTH, TX 76107
Social Worker (Clinical)
3200 SANGUINET ST
FORT WORTH, TX 76107
Counselor (Professional)
3200 SANGUINET ST
FORT WORTH, TX 76107
Counselor (Professional)
3200 SANGUINET ST
FORT WORTH, TX 76107

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 Breanna Gammon's NPI number?

The NPI number for Breanna Gammon is 1174337919. It was assigned to this individual provider in the NPPES registry on February 3, 2025. The provider is also known as Breanna Michelle Tuck Lcsw.

Where is Breanna Gammon located?

Breanna Gammon practices at 3200 Sanguinet St, Fort Worth, TX 76107. The listed phone number is (817) 255-2500.

What is Breanna Gammon's specialty?

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

Is Breanna Gammon enrolled in Medicare?

Yes. Breanna Gammon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Breanna Gammon was last updated on October 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.