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Samuel Allen Tuckwin , LCSW

Social Worker β€’ Longview, WA

Active NPI 1669161014 Individual Practitioner Male Practitioner
Practice location in NPPES

900 Fir St
Longview, WA 986322544

Call 3603539422 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

900 Fir St

Longview, WA 986322544

Telephone 3603539422
Fax 3603539440
Organization at the Same NPPES Address or Phone
Cowlitz Indian Tribe Facility NPI 1619194123

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Gresham, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Samuel Tuckwin as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Longview and Washington

17 active clinicians are listed under Social Worker with a practice address in Longview, WA (2,142 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Longview

0% of these 17 clinicians have the CMS telehealth indicator.

5.9% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-21
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES 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

License # reported to NPPES OR T-24-3972
Social Worker

NUCC Taxonomy Code: 104100000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
500819391 (OR)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

620 Ne 2nd St

Gresham, OR 970307514

Phone: 9712743757

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Edward Ebert , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1467690693

Psychiatric-Mental Health Nurse Practitioner

Jennifer Fresh , PMHNP, ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1760845853

Psychiatric-Mental Health Nurse Practitioner, Advanced Registered Nurse Practitioner

Kenneth Hermansen , RDN, CDCES

Dietitian, Registered

NPI 1558068791

Registered Dietitian Nutritionist, Certified Diabetes Care and Education Specialist

Dr. Tara Taylor , DNP, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1720637424

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸ“
Updated Practice Location July 21, 2026

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

πŸ“
Updated Business Mailing Address July 21, 2026

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

πŸ‘€
Provider Name / Credentials Updated July 21, 2026

Recorded as SAMUEL TUCKWIN, LCSW

πŸ‘€
Provider Name / Credentials Updated June 10, 2025

Recorded as SAMUEL TUCKWIN, CADC-R/CSWA

πŸ“
Updated Business Mailing Address March 28, 2025

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

πŸ‘€
Provider Name / Credentials Updated March 28, 2025

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

πŸ‘€
Provider Name / Credentials Updated June 14, 2024

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

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

Counselor (license number reported to NPPES: OR T-24-3972)

πŸ‘€
Provider Name / Credentials Updated August 30, 2023

Recorded as SAMUEL TUCKWIN, QMHP-R

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

Counselor (license number reported to NPPES: OR 23-QMHP-R-2293)

βœ…
NPI Profile Active May 02, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 02, 2023

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

πŸ“
Business Mailing Address (Initial Record) May 02, 2023

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

πŸ‘€
Provider Name / Credentials (Initial Record) May 02, 2023

Recorded as SAMUEL TUCKWIN, QMHA

πŸŽ“
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.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.