Alexis Tully, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ALEXIS TULLY, LCSW, PLLC

Practice address

4539 N 22ND St # 5343
Phoenix, AZ 85016-4639

Phone

(602) 456-9762

NPI assigned

Oct 2, 2025

Last updated

Oct 2, 2025By 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

Alexis Tully, LCSWNPI 1134985930

Title

Licensed Therapist

Phone

(602) 456-9762

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexis Tully, LCSW

  • Clinical Social Worker
  • Scottsdale, AZ
  • NPI 1134985930
  NPD Authorized official

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1275407223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST # 5343",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639",
            "telephone_number": "602-456-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST # 5343",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639",
            "telephone_number": "602-456-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS TULLY, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "TULLY",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "602-456-9762",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Tyler Alexander, LAC
• Karsten Alexandria, N.D., L.AC.
• Nadejda Alexandrova, PSYD
• Alexicom Tech LLC
• Alexis Petra MD
• Cartlyne Alexis, REGISTERED NURSE
• Donette Mary Alexis, CLINICALPSYCHOLOGIST
• Annemarie Alf, PT
• Jennifer Alfafara, FNP-C
• Charles Andrew Alfano, MD PC

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.