Individual provider · Type 1 NPI

Michelle R. Tully, L.M.S.W.

Clinical Social Worker · Staten Island, NY

NPI number 1942426523 Active

Practice location

669 Castleton Ave
Staten Island, NY 10301-2028

Fax (718) 442-2289

Mailing address

151 B Colon Ave
Staten Island, NY 10308

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X074955-1 (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 1942426523

Michelle R. Tully, L.M.S.W.'s National Provider Identifier is 1942426523, issued on Apr 18, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Jul 8, 2007.