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

Corey Kucker, LCSW, CAADC

Individual provider Clinical Social Worker · NPI 1184434003

Corey Kucker, LCSW, CAADC is a Clinical Social Worker in Scranton, Pennsylvania. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

501 S Washington Ave Ste 100
Scranton, PA 18505-3814
Phone: (570) 941-0630
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW025599 (PA)

Record details

NPI number1184434003
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CAADC
Sole proprietorYes
NPI enumeratedJanuary 13, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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