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

MR. TIMMOTHY NELSON TILLOTSON, LCSW

Active Sole Proprietor

MR. TIMMOTHY NELSON TILLOTSON, LCSW is a Clinical Social Worker healthcare provider located in ST AUGUSTINE, Florida. NPI 1336293836 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ST AUGUSTINE, FL

Registration Details

NPI Number
1336293836
Provider Type
Individual
Gender
Male
NPI Issued
Jan 22, 2007 (19.37820050623 yrs)
Last Updated
Sep 29, 2014
Licenses
SW0004306 (FL)
SW00296 (MN)
Sole Proprietor
Yes

Practice Information

Address
4850 A1A S
ST AUGUSTINE, FL, 320807447
Browse FL providers · Browse ZIP 32080
Phone
9043777431
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in ST AUGUSTINE, FL

Name Credential NPI
MS. ANDREA LEVINSON MSW 1205835295
SAM LAWLESS MSW 1467441980
CAROL HOOPER LCSW 1104815687
SUSAN CARDIFF-REED LCSW 1205825684
CARL HOWELL LCSW 1386633790
JAMES BERWICK LCSW 1265421259
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.