Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tuckerville LLC

Organization Clinical Social Worker · NPI 1063870293

Tuckerville LLC is a Clinical Social Worker in Wayne, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2016
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

35230 E Michigan Ave
Wayne, MI 48184-3698
Phone: (313) 312-5706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9257 E Walden Dr, Belleville, MI 48111-2488 — (313) 303-7423

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence E79564 (MI)
Clinical Social Worker Taxonomy 1041C0700X
Public Health or Welfare Agency Taxonomy 251K00000X · Licence E79564 (MI)
In Home Supportive Care Agency Taxonomy 253Z00000X · Licence E79564 (MI)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Health Maintenance Organization Taxonomy 302R00000X · Licence E79564 (MI)

Record details

NPI number1063870293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fartima Tucker — Ceo/Owner · (313) 303-7423
NPI enumeratedFebruary 2, 2016
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023
Mailing addressPo Box 125, Belleville, MI 48112-0125

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