Elizabeth Tully, LCSW, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELIZABETH TULLY, LCSW, LLC

Practice address

590 Missouri Ave Ste 206C
Jeffersonville, IN 47130-3084

Phone

(812) 541-9929

Fax

(812) 461-0426

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Tully, LCSWNPI 1598298770

Title

Therapist

Phone

(812) 541-9929

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.

• Elizabeth Tully, MSSW, LCSW

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1598298770
  NPD Authorized official

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1831662980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MISSOURI AVE STE 206C",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303084",
            "telephone_number": "812-541-9929",
            "fax_number": "812-461-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MISSOURI AVE STE 206C",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303084",
            "telephone_number": "812-541-9929",
            "fax_number": "812-461-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH TULLY, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "TULLY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "812-541-9929",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monyelle Edwards
• Parker Scott Edwards, OD
• John Bernard Eifler Jr., M.D.
• Nancy Jean Eklund, RN
• Elemental Body & Mind
• Anthony Wayne Elliott II, KCSA
• Barbara Elaine Elliott, NP
• Karen Lynn Ellmers, M.D.
• Aryahna Elmer, RBT
• Ema Anesthesia, PSC

• All providers in Jeffersonville, IN
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.