Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669161014 Individual Practitioner Male Practitioner

Samuel Allen Tuckwin , LCSW

Social Worker • Longview, WA

Professional Overview & Biography Verified Profile Summary

Samuel Tuckwin, LCSW is a registered healthcare professional specializing in Social Worker in Longview, WA. Practice services are available at 900 FIR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 Fir St

Longview, WA 986322544

Telephone 3603539422
Fax 3603539440
Associated Practice Facility / Clinic
🏢 Cowlitz Indian Tribe Facility NPI 1619194123

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Longview, WA (2183 Statewide)

Telehealth Adoption Rate
0.0% 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: 2026-07-21
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OR L18085

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR T-24-3972

Definition to come...

Social Worker

NUCC Taxonomy Code: 104100000X

State License WA SC61570839

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500819391 (OR)

Secondary Practice Locations

620 Ne 2nd St

Gresham, OR 970307514

Phone: 9712743757

Practice Associates & Co-Workers

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

33 Associated Practitioners
Celia Delaney , MA

Counselor - Mental Health

NPI 1033508064

Master of Arts

Cassidy Roberts

Peer Specialist

NPI 1033905252
Angela Naillon , MA

Marriage & Family Therapist

NPI 1043681513

Master of Arts

Cheryl Carter , MS, LMHCA, CDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1124486873

Master of Science, LMHCA, CDPT

Kylee Lancaster , SUDP-T

Counselor - Addiction (Substance Use Disorder)

NPI 1154153096

SUDPT

Miranda Jaksha , SUDP-T

Counselor - Addiction (Substance Use Disorder)

NPI 1174355499

SUDPT

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location July 21, 2026

Registered at 900 FIR ST, LONGVIEW, WA 986322544 (Tel: 3603539422)

📍
Updated Business Mailing Address July 21, 2026

Registered at PO BOX 2429, LONGVIEW, WA 986328486 (Tel: 3603539422)

👤
Provider Name / Credentials Updated July 21, 2026

Recorded as SAMUEL TUCKWIN, LCSW

👤
Provider Name / Credentials Updated June 10, 2025

Recorded as SAMUEL TUCKWIN, CADC-R/CSWA

📍
Updated Business Mailing Address March 28, 2025

Registered at 211 SE CARUTHERS ST, PORTLAND, OR 972144502 (Tel: 5032241044)

👤
Provider Name / Credentials Updated March 28, 2025

Recorded as SAMUEL TUCKWIN, CADC-R/CSWA/QMHP-R

👤
Provider Name / Credentials Updated June 14, 2024

Recorded as SAMUEL TUCKWIN, CADC-R/QMHP-R

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2024

Counselor (License #T-24-3972 in OR)

👤
Provider Name / Credentials Updated August 30, 2023

Recorded as SAMUEL TUCKWIN, QMHP-R

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2023

Counselor (License #23-QMHP-R-2293 in OR)

NPI Profile Active May 02, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2023

Registered at 620 NE 2ND ST, GRESHAM, OR 970307514 (Tel: 9712743757)

📍
Updated Business Mailing Address May 02, 2023

Registered at 1776 SW MADISON ST, PORTLAND, OR 972051715 (Tel: 5032241044)

👤
Provider Name / Credentials Updated May 02, 2023

Recorded as SAMUEL TUCKWIN, QMHA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2023

Counselor

🟢
Initial NPI Registration & Enumeration May 02, 2023

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: 1669161014
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2023
Last Update: July 21, 2026
Sole Proprietor: No

Mailing Address

Po Box 2429

Longview, WA 986328486

Phone: 3603539422

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.