Brenda a. Tully, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73074208-R Issued in NY

Legal business name

BRENDA A. TULLY, LCSW

Practice address

245 W 29TH St
Suite 304
New York, NY 10001-5208

Phone

(347) 907-3646

NPI assigned

Feb 20, 2015

Last updated

Feb 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Ann Tully, LCSW-R

Title

Therapist

Phone

(347) 907-3646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1215329743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 FAIRMOUNT AVE",
            "address_2": "UNIT 307",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064848",
            "telephone_number": "347-907-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W 29TH ST",
            "address_2": "SUITE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015208",
            "telephone_number": "347-907-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA A. TULLY, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "TULLY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "347-907-3646",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73074208-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth A Brendel, RPH
• Gary R. Brendel, M.D.
• Cara Brendler, LCSW
• Alyssa Nicole Breneman

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.