Active NPIIndividual provider

Ms. Judith M Tully, LICSW

Social Worker, Clinical in Westboro, Massachusetts

NPI Number1962467787
Practice location
154 E Main St, Westboro, MA 01581
Fax
508-799-6325
Last updated
July 8, 2007

Judith M Tully is a Social Worker, Clinical based in Westboro, MA. Judith M Tully practices in Westboro, MA and has the professional credentials of LICSW. The NPI Number for Judith M Tully is 1962467787 and holds a License No. 106057 (MA). The current practice location address for Judith M Tully is 154 E Main St, Westboro, MA 01581 and can be reached out via phone at 508-870-0647 and via fax at 508-799-6325.

Provider Profile Details

NPI Number
1962467787
Provider Name
Judith M Tully
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
154 E Main St, Westboro, MA 01581
Phone Number
508-870-0647
Fax Number
508-799-6325
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 18, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
154 E Main St
Westboro, MA 01581
Zip
01581
Phone Number
508-870-0647
Fax Number
508-799-6325
Westboro, MA 01581Get directions →

Provider Business Mailing Address Details

Address
1330 Beacon St
Ste 205
Brookline, MA 02446
City
Brookline
State
MA
Zip
02446
Phone Number
617-730-5356

License Information

License Number
106057
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Judith M Tully, LICSW?

The NPI number of Ms. Judith M Tully, LICSW is 1962467787. It was assigned on April 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Judith M Tully, LICSW?

Ms. Judith M Tully, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 106057.

Where does Ms. Judith M Tully, LICSW practice?

The practice location is 154 E Main St, Westboro, MA 01581. The office can be reached at 508-870-0647 (phone) or 508-799-6325 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962467787 directly on the NPPES registry website.

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