1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Social Worker
  6. NPI Profile

MR. SHANE MARK TULL LCSW
NPI 1306857230
Social Worker - Clinical in Brooklyn, NY

Active since August 09, 2006
549 THROOP AVE, 3F, BROOKLYN, NY 11216(947) 884-4135(718) 576-9424 Get Directions Write a Review

NPPES record last updated: April 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shane Mark Tull Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANE MARK TULL LCSW (NPI 1306857230) is an individual clinical provider in Brooklyn, New York, licensed in New York (074557) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1306857230
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SHANE MARK TULLCredential: LCSW
Location Address549 THROOP AVE, 3FBrooklyn, NY 11216-2434
Mailing Address549 Throop Ave, 3fBrooklyn, NY 11216-2434 · (947) 884-4135 · Fax (718) 576-9424
Phone(947) 884-4135
Fax(718) 576-9424
Sole ProprietorYes
Enumeration DateAugust 9, 2006
Last NPPES UpdateApril 12, 2013
✔ NPI 1306857230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 074557
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
549 THROOP AVE, Brooklyn, NY 11216
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Tull's NPI number?

The NPI number for Shane Tull is 1306857230. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Shane Tull located?

Shane Tull practices at 549 Throop Ave 3F, Brooklyn, NY 11216. The listed phone number is (947) 884-4135.

What is Shane Tull's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Shane Tull was last updated on April 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.