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

Robert J Tully, LISW

Individual provider Clinical Social Worker · NPI 1689109597

Robert J Tully, LISW is a Clinical Social Worker in Berea, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

202 E Bagley Rd
Berea, OH 44017-2058
Phone: (440) 234-2006
Fax: (440) 234-0787
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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 I.1600753 (OH)
Social Worker Taxonomy 104100000X · Licence I.1600753 (OH)

Record details

NPI number1689109597
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorYes
NPI enumeratedApril 28, 2017
Last updated in NPPESApril 21, 2020
Certification dateApril 21, 2020
Mailing address202 E Bagley Rd, Berea, OH 44017-2058

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