{"npi":"1225629694","type":"NPI-1","status":"active","name":{"display":"Jeffrey Tucker LCSW","other":[],"first":"JEFFREY","last":"TUCKER","credential":"LCSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"NJ","license":"44SC05762700"}]},"addresses":[{"purpose":"LOCATION","street_1":"2130 MILLBURN AVE","city":"MAPLEWOOD","state":"NJ","postal_code":"070403725","country_code":"US","phone":"6463827410"},{"purpose":"MAILING","street_1":"PO BOX 874","city":"HILLSIDE","state":"NJ","postal_code":"072050874","country_code":"US","phone":"6463827410"}],"license":{"state":"NJ","number":"44SC05762700"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0663123","state":"NJ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250214001816","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"NJ","pac_id":"7416487814"}]},"enumeration_date":"2021-01-28","last_updated":"2021-01-28","_meta":{"source":"NPPES","snapshot_date":"2021-01-28","doc_url":"https://findmynpi.com/api"}}