Candice A Tummillo, MSW, LCSW, OCW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

31910 Issued in MD

Practice address

729 E Pratt Street
Suite 560
Baltimore, MD 21202-2120

Phone

(434) 401-4075

NPI assigned

Oct 14, 2024

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1013737006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 E PRATT ST STE 560",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023558",
            "telephone_number": "434-401-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 E PRATT STREET",
            "address_2": "SUITE 560",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022120",
            "telephone_number": "434-401-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMMILLO",
        "first_name": "CANDICE",
        "middle_name": "A",
        "credential": "MSW, LCSW, OCW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05905200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020828",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61507649",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "31910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Liana Tullos, PTA
• Andrew Albert Tully, M.D.
• Mazin Ahmed Murtadha Tuma, MD
• Dominick Tumacder, PA-C
• Ethan Tumarkin, MD
• Olivia Tumperi
• Jamie Ann Tumulty, CRNP
• Nichole Pacifico Tune, CRNP
• Paige Tunic
• Alexandra Tunkel

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.