Individual provider · Type 1 NPI

Robert J. Tully, LISW

Clinical Social Worker · Berea, OH

NPI number 1689109597 Active

Practice location

202 E Bagley Rd
Berea, OH 44017-2058

Call (440) 234-2006 Map

Fax (440) 234-0787

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI.1600753 (OH)
Social Worker 104100000XI.1600753 (OH)

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 1689109597

Robert J. Tully, LISW's National Provider Identifier is 1689109597, issued on Apr 28, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Berea, OH. The record was last updated on Apr 21, 2020.