NICOLE MARIE TILLMAN
NPI 1366060709
Social Worker - Clinical in Minneapolis, MN

Active since July 13, 2020
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405(612) 871-1454 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Marie Tillman NPPES

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

NICOLE MARIE TILLMAN (NPI 1366060709) is an individual clinical provider in Minneapolis, Minnesota and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1366060709
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE MARIE TILLMAN
Location Address1100 GLENWOOD AVEMinneapolis, MN 55405-1430
Mailing Address1100 Glenwood AveMinneapolis, MN 55405-1430 · (612) 871-1454
Sole ProprietorNo
Enumeration DateJuly 13, 2020
NPPES CertifiedJuly 13, 2020
NPI 1366060709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1100 GLENWOOD AVE, Minneapolis, MN 55405

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Social Worker (Clinical)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Social Worker (Clinical)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Social Worker (Clinical)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Counselor (Professional)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Social Worker (Clinical)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Social Worker (Clinical)
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405
Marriage & Family Therapist
1100 GLENWOOD AVE
MINNEAPOLIS, MN 55405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Tillman's NPI number?

The NPI number for Nicole Tillman is 1366060709. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Where is Nicole Tillman located?

Nicole Tillman practices at 1100 Glenwood Ave, Minneapolis, MN 55405. The listed phone number is (612) 871-1454.

What is Nicole Tillman's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Tillman was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.