Individual provider · Type 1 NPI

Jodi Beth Tully, LMSW

Clinical Social Worker · Albany, NY

NPI number 1487734059 Active

Practice location

105 S Lake Ave
Albany, NY 12208-3367

Call (518) 434-1799 Map

Fax (518) 434-1132

Mailing address

105 South Lake Avenue
Albany, NY 12208-3367

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X067508 (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 1487734059

Jodi Beth Tully, LMSW's National Provider Identifier is 1487734059, issued on Oct 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albany, NY. The record was last updated on Apr 25, 2008.