Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Shane Mark Tull, LCSW

Individual provider Clinical Social Worker · NPI 1306857230

Mr. Shane Mark Tull, LCSW is a Clinical Social Worker in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

549 Throop Ave 3F
Brooklyn, NY 11216-2434
Phone: (947) 884-4135
Fax: (718) 576-9424
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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 074557 (NY)

Record details

NPI number1306857230
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 9, 2006
Last updated in NPPESApril 12, 2013

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