Individual provider Active NPI

Jennifer Tulli, LISW-S, LCDC III

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1659456713
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0010063 Issued in OH
Practice address
2500 Metrohealth Drive
Metrohealth Medical Center
Cleveland, OH 44109-3322
Phone
(216) 778-8305
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-0010063 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162381 OH

Addresses

Primary practice location

2500 Metrohealth Drive
Metrohealth Medical Center
Cleveland, OH 44109-3322

Mailing address

24024 E Oakland Rd
Bay Village, OH 44140-2829
Phone (440) 617-6017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000390 OH Practitioner - Clinical Social Worker 2668597196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.162381OHMDAddiction (Substance Use Disorder) Counselor
I-0010063OHMDClinical Social Worker

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1659456713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24024 E OAKLAND RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402829",
            "telephone_number": "440-617-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DRIVE",
            "address_2": "METROHEALTH MEDICAL CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093322",
            "telephone_number": "216-778-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLI",
        "first_name": "JENNIFER",
        "credential": "LISW-S, LCDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0010063",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.