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

Individual provider Clinical Social Worker · NPI 1447122775

Kelly Tuckwaite, LCSW-C is a Clinical Social Worker in Germantown, Maryland. Qualified in 2021, 5 years ago. Practices with Medstar Health Weight Management, LLC, a 104-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2025
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Practice location Address checks out

20410 Observation Dr Ste 105
Germantown, MD 20876-6426
Phone: (240) 805-5045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 27782 (MD)

Record details

NPI number1447122775
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LCSW-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Medstar Health Weight Management, Llc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Germantown