DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHADIJAH TILLMAN, LCSW

Active Organization

KHADIJAH TILLMAN, LCSW is a Clinical Social Worker organization located in ROCHESTER, New York. NPI 1003280140 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ROCHESTER, NY

Registration Details

NPI Number
1003280140
Provider Type
Organization
NPI Issued
Nov 29, 2015 (10.727623354252 yrs)
Last Updated
Nov 29, 2015
License
73081603 (NY)

Practice Information

Address
4 CHELMSFORD RD
ROCHESTER, NY, 146181755
Browse NY providers · Browse ZIP 14618
Phone
5857132071
Fax
5854615503
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.