Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BRODY TUCKER LCSW LLC
NPI 1932003316
Social Worker - Clinical in Portland, OR

Active since October 07, 2026
1253 NE 112TH AVE, PORTLAND, OR 97220(971) 266-0801 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Brody Tucker Lcsw Llc NPPES

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

BRODY TUCKER LCSW LLC (NPI 1932003316) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since October 2026. The organization lists Brody Tucker, Owner, as its authorized official.

NPPES Registry Identity

NPI1932003316
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBRODY TUCKER LCSW LLC
Location Address1253 NE 112TH AVEPortland, OR 97220-3021
Mailing Address1253 Ne 112th AvePortland, OR 97220-3021
Organization SubpartNo
Authorized OfficialBrody TuckerOwner · (971) 266-0801
Enumeration DateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1932003316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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

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 Lcsw LLC's NPI number?

The NPI number for Brody Tucker Lcsw LLC is 1932003316. It was assigned to this organization in the NPPES registry on October 7, 2026.

Where is Brody Tucker Lcsw LLC located?

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

What is Brody Tucker Lcsw LLC'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 Brody Tucker Lcsw LLC 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 6 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.