Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle R Tully, LMSW

Individual provider Clinical Social Worker · NPI 1942426523

Michelle R Tully, LMSW is a Clinical Social Worker in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

669 Castleton Ave
Staten Island, NY 10301-2028
Phone: (718) 442-2225
Fax: (718) 442-2289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 074955-1 (NY)

Record details

NPI number1942426523
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedApril 18, 2007
Last updated in NPPESJuly 8, 2007

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