Samuel Allen Tuckwin, CADC-R/CSWA/QMHP-R is a
Social Worker based in Gresham, Oregon. Samuel Allen Tuckwin is licensed to practice in Oregon (license number A14705) and his current practice location is
620 Ne 2nd St, Gresham, Oregon. He can be reached at his office (for appointments etc.) via phone at
(971) 274-3757.
NPI number for Samuel Allen Tuckwin is 1669161014 and his current mailing address is 211 Se Caruthers St, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669161014.
Healthcare Provider's Profile
| Full Name | Samuel Allen Tuckwin |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 620 Ne 2nd St, Gresham, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1669161014
- Provider Enumeration Date: 05/02/2023
- Last Update Date: 03/28/2025
Medical Identifiers
Medical identifiers for Samuel Allen Tuckwin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669161014 | NPI | - | NPPES |
| 500819391 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-24-3972 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | 23-QMHP-R-2293 (Oregon) | Secondary |
| 104100000X | Social Worker | SC61570839 (Washington) | Secondary |
| 104100000X | Social Worker | A14705 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Allen Tuckwin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samuel Allen Tuckwin, CADC-R/CSWA/QMHP-R
211 Se Caruthers St,
Portland, OR 97214-4502
Ph: (503) 224-1044 | Samuel Allen Tuckwin, CADC-R/CSWA/QMHP-R
620 Ne 2nd St,
Gresham, OR 97030-7514
Ph: (971) 274-3757 |
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