Individual
SAMUEL ALLEN TUCKWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
900 FIR ST, LONGVIEW, WA 98632-2544
(360) 353-9422
(360) 353-9440
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9422
(360) 353-9440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-24-3972
OR
104100000X
Social Worker
Primary
A14705
OR
104100000X
Social Worker
Primary
L18085
OR
104100000X
Social Worker
SC61570839
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500819391
—
OR
Enumeration date
05/02/2023
Last updated
07/21/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up