Individual provider · Type 1 NPI
Shane Mark Tull, LCSW
Clinical Social Worker · Brooklyn, NY
Practice location
549 Throop Ave, 3F
Brooklyn, NY 11216-2434
Fax (718) 576-9424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 074557 (NY) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1306857230
Shane Mark Tull, LCSW's National Provider Identifier is 1306857230, issued on Aug 9, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 12, 2013.