KHADIJAH TILLMAN, LCSW
NPI 1003280140
Social Worker - Clinical in Rochester, NY

Q: What is Khadijah Tillman, Lcsw's NPI number?

The NPI number for Khadijah Tillman, Lcsw is 1003280140. It was assigned to this organization in the NPPES registry on November 29, 2015.

Q: What is Khadijah Tillman, Lcsw's specialty?

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

Active since November 29, 2015

4 CHELMSFORD RD, ROCHESTER, NY 14618(585) 713-2071(585) 461-5503 Get Directions Write a Review

NPPES record last updated: November 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Khadijah Tillman, Lcsw NPPES

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

KHADIJAH TILLMAN, LCSW (NPI 1003280140) is a healthcare organization registered as a clinical in Rochester, New York and active in the NPI registry since November 2015. The organization lists Khadijah Tillman, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1003280140

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameKHADIJAH TILLMAN, LCSW

Location Address4 CHELMSFORD RDRochester, NY 14618-1755

Mailing Address4 Chelmsford RdRochester, NY 14618-1755 · (585) 713-2971

Phone(585) 713-2071

Fax(585) 461-5503

Organization SubpartNo

Authorized OfficialKhadijah TillmanPsychotherapist · (585) 713-2071

Enumeration DateNovember 29, 2015

✔ NPI 1003280140 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 · 73081603

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.

4 CHELMSFORD RD, Rochester, NY 14618

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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