Individual provider · Type 1 NPI
Michael Tully, LMSW
Clinical Social Worker · Nottingham, MD
Practice location
5022 Campbell Blvd # 4649
Nottingham, MD 21236-4969
Mailing address
12200 Burncourt Rd
Lutherville Timonium, MD 21093-8120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Counselor | 101YM0800X | 27359 (MD) |
| Clinical Social Worker Primary | 1041C0700X | 27359 (MD) |
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 1407424252
Michael Tully, LMSW's National Provider Identifier is 1407424252, issued on Jun 16, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Nottingham, MD. The record was last updated on May 21, 2025.