Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306501648 Individual Practitioner Male Practitioner

Kyle Stephen Tucker , LMSW

Social Worker • Surprise, AZ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kyle Tucker, LMSW is a registered healthcare professional specializing in Social Worker in Surprise, AZ. Official NPI practice address is registered at 13975 WEST GRAND AVE.

Practice Location & Contact Primary Location

Practice Address

13975 West Grand Ave
#101

Surprise, AZ 85374

Telephone 6232668490
Fax 6233986094
Associated Practice Facility / Clinic
🏢 Phoenix Vamc Facility NPI 1184682676

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Surprise, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
19 Specialists

Practicing in Surprise, AZ (1597 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-01
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License AZ LMSW-15716

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1477884096

Doctor of Audiology

Dr. David Downs , MD

Psychiatry & Neurology - Psychiatry

NPI 1548236805

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location June 23, 2025

Registered at 13975 WEST GRAND AVE, #101, SURPRISE, AZ 85374 (Tel: 6232668490)

NPI Profile Active November 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2021

Registered at 5040 N 15TH AVE, PHOENIX, AZ 850153328 (Tel: 6022347127)

📍
Updated Business Mailing Address November 02, 2021

Registered at 650 E INDIAN SCHOOL RD, PHOENIX, AZ 850121839 (Tel: 6902234712)

👤
Provider Name / Credentials Updated November 02, 2021

Recorded as KYLE TUCKER, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2021

Social Worker (License #LMSW-15716 in AZ)

🟢
Initial NPI Registration & Enumeration November 02, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306501648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2021
Last Update: June 23, 2025
Sole Proprietor: No

Mailing Address

650 E Indian School Rd

Phoenix, AZ 850121839

Phone: 6902234712

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.