Jodi Beth Tully, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

067508 Issued in NY

Practice address

105 S Lake Ave
Albany, NY 12208-3367

Phone

(518) 434-1799

Fax

(518) 434-1132

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jodi Beth Leitner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Robert Wishnoff Dba Human Resource Assoc

  • Mental Health Counselor
  • Albany, NY
  • NPI 1295066942
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1487734059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOUTH LAKE AVENUE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083367",
            "telephone_number": "518-434-1799",
            "fax_number": "518-434-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S LAKE AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083367",
            "telephone_number": "518-434-1799",
            "fax_number": "518-434-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "JODI",
        "middle_name": "BETH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "067508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "LEITNER",
            "middle_name": "BETH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lynn M Tubbs
• Shannon L Tucker, MSED/ CAS/ NCSP
• Tokeya Lynn Tucker
• Alicia G. Tudor, M.D.
• Victor L Tulchinsky, DO
• Marianne Tumminello
• Skylar Tun
• Elizabeth M Tunison, LCSW-R
• Sean Michael Tuohy, RN
• Michela Puglisi Turcotte, FNP-BC

• Clinical Social Worker in Albany, NY
• Providers in Albany, 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 Apr 25, 2008; 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.