Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KHADIJAH ELLA TILLMAN, LCSW-R
Active Sole ProprietorKHADIJAH ELLA TILLMAN, LCSW-R is a Clinical Social Worker healthcare provider located in ROCHESTER, New York. NPI 1851618391 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ROCHESTER, NY
Registration Details
- NPI Number
- 1851618391
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2010 (16.127292660762 yrs)
- Last Updated
- Apr 19, 2017
- Licenses
-
72074482 (NY)081603 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 CHELMSFORD RD.ROCHESTER, NY, 14609Browse NY providers · Browse ZIP 14609
- Phone
- 5857132071
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in ROCHESTER, NY
| Name | Credential | NPI |
|---|---|---|
| MR. TIMOTHY JUDE SHEEHAN | LCSW | 1417947219 |
| MRS. DOREEN SMETHURST | LCSW ACSW | 1891776118 |
| MS. BARBARA ANN RACO | LSCW R | 1902881113 |
| MR. ANDREW MICHAEL PETRONIO | LCSW | 1912984147 |
| MARY ANNE SCOLLAN | LCSW | 1548240708 |
| MS. MARY CLARE | LCSW | 1043286248 |
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.