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

Brody Tucker, LCSW

Individual provider Clinical Social Worker · NPI 1013309962

Brody Tucker, LCSW is a Clinical Social Worker in Vancouver, Washington. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
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

12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055
Phone: (360) 558-2456
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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 LCSW65719 (CA)

Record details

NPI number1013309962
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 2, 2015
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

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