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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SHANE MARK TULL, LCSW

Active Sole Proprietor

MR. SHANE MARK TULL, LCSW is a Clinical Social Worker healthcare provider located in BROOKLYN, New York. NPI 1306857230 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BROOKLYN, NY

Registration Details

NPI Number
1306857230
Provider Type
Individual
Gender
Male
NPI Issued
Aug 9, 2006 (20.033575073735 yrs)
Last Updated
Apr 12, 2013
License
074557 (NY)
Sole Proprietor
Yes

Practice Information

Address
549 THROOP AVE
3F
BROOKLYN, NY, 112162434
Browse NY providers · Browse ZIP 11216
Phone
9478844135
Fax
7185769424
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in BROOKLYN, NY

Name Credential NPI
MS. SHAYNE RAZE MSW, LCSW 1518960475
DR. SHARON G PINSKER LCSW 1699771147
MS. DONNA CLAIRE. ARKING LCSW 1558369975
MISS SUSAN CAPUTO LCSW 1730189721
MS. HELEN B MULLIN LCSW 1467445445
DOLORES CAVIGLIA-FISCHER LCSW 1912990623
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.