MEDICARE: BRENDA A. TULLY, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	73074208-R	NY

General Provider Information

NPI Number	:	1215329743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRENDA A. TULLY, LCSW

Provider Business Mailing Address
First Line	:	340 FAIRMOUNT AVE
Second Line	:	UNIT 307
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-4848
Country	:	US
Telephone Number	:	347-907-3646
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 W 29TH ST
Second Line	:	SUITE 304
City	:	NEW YORK
State	:	NY
Zip	:	10001-5208
Country	:	US
Telephone Number	:	347-907-3646
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	MS. BRENDA ANN TULLY
Credential	:	LCSW-R
Telephone Number	:	347-907-3646

Provider Enumeration Date	:	02/20/2015
Last Update Date	:	02/20/2015

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1841693835 — MADELINE COOPER
Practice Location Address:

276 5TH AVENUE , SUITE 704 - 3051
NEW YORK, NY
10001-5208

Practice Phone: 917-719-4761
Practice Fax:

1356737340 — MS. WENDY KAUFMAN HARPER LCSW
Practice Location Address:

245 W 29TH ST , 304
NEW YORK, NY
10001-5208

Practice Phone: 917-701-0248
Practice Fax:

1861889529 — MS. LEAH LEATHERBEE LCSW-R
Practice Location Address:

245 WEST 29TH STREET, SUITE 304
NEW YORK, NY
10001-5208

Practice Phone: 718-930-7126
Practice Fax: 646-726-4072

1265940522 — YUKO ISHIKAWA
Practice Location Address:

245 W 29TH ST
NEW YORK, NY
10001-5208

Practice Phone: --
Practice Fax:

1245845726 — ROTTENBERG PSYCHOTHERAPY MENTAL HEALTH COUNSELING PLLC
Practice Location Address:

245 W 29TH ST RM 304
NEW YORK, NY
10001-5208

Practice Phone: 203-518-4177
Practice Fax:

Directions to “BRENDA A. TULLY, LCSW ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.