Michael Tully, LMSW is a
Social Worker - Clinical based in Nottingham, Maryland. Michael Tully is licensed to practice in Maryland (license number 27359) and his current practice location is
5022 Campbell Blvd # 4649, Nottingham, Maryland. He can be reached at his office (for appointments etc.) via phone at
(443) 442-1568.
NPI number for Michael Tully is 1407424252 and his current mailing address is 12200 Burncourt Rd, Lutherville Timonium, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407424252.
Healthcare Provider's Profile
Full Name | Michael Tully |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 5022 Campbell Blvd # 4649, Nottingham, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407424252
- Provider Enumeration Date: 06/16/2021
- Last Update Date: 05/21/2025
Medical Identifiers
Medical identifiers for Michael Tully such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407424252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 27359 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | 27359 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Tully is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael Tully, LMSW 12200 Burncourt Rd, Lutherville Timonium, MD 21093-8120 Ph: () - | Michael Tully, LMSW 5022 Campbell Blvd # 4649, Nottingham, MD 21236-4969 Ph: (443) 442-1568 |
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