Individual
ANDREW TILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1650 BROADWAY, BETHLEHEM, PA 18015-3904
(610) 799-8600
Mailing address
4727 HARRIET LN, BETHLEHEM, PA 18017
(610) 751-9492
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020609
PA
171M00000X
Case Manager/Care Coordinator
Primary
SW123997
PA
Other
Enumeration date
06/01/2016
Last updated
05/12/2026
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