Provider Demographics
NPI:1639863996
Name:TUCK, SIERRA PAGE (MSW)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:PAGE
Last Name:TUCK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 POSTINGS PT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-3099
Mailing Address - Country:US
Mailing Address - Phone:859-351-7540
Mailing Address - Fax:
Practice Address - Street 1:2802 BRANSFORD AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3102
Practice Address - Country:US
Practice Address - Phone:629-201-2710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical