Provider Demographics
NPI:1356923445
Name:TUCKER, REBEKAH NICOLE (CMSW, LCSW-A, LCAS-A)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:NICOLE
Last Name:TUCKER
Suffix:
Gender:F
Credentials:CMSW, LCSW-A, LCAS-A
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:NICOLE
Other - Last Name:LINEBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMSW, LCSW-A, LCAS-A
Mailing Address - Street 1:220 5TH AVE E
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-4377
Mailing Address - Country:US
Mailing Address - Phone:828-692-4289
Mailing Address - Fax:828-696-1794
Practice Address - Street 1:44 BONNIE LN
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-8511
Practice Address - Country:US
Practice Address - Phone:828-631-3973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-27714101YA0400X
NCP0160141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)