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MR. DOUGLAS GILBERT TILLEY II LCSW-C
NPI 1689880296
Social Worker - Clinical in Annapolis, MD

Active since May 14, 2007Opted out of Medicare · through Apr 1, 2027
716 GIDDINGS AVE STE 33, ANNAPOLIS, MD 21401(410) 268-4072(410) 268-4072 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Douglas Gilbert Tilley Ii Lcsw-c NPPES

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

MR. DOUGLAS GILBERT TILLEY II LCSW-C (NPI 1689880296) is an individual clinical provider in Annapolis, Maryland, licensed in Maryland (MD 02657) and active in the NPI registry since May 2007. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689880296
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DOUGLAS GILBERT TILLEY IICredential: LCSW-C
Location Address716 GIDDINGS AVE STE 33Annapolis, MD 21401-1408
Mailing Address716 Giddings Ave Ste 33Annapolis, MD 21401-1408 · (410) 268-4072 · Fax (410) 268-4072
Phone(410) 268-4072
Fax(410) 268-4072
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689880296 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 MD · MD 02657
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.
716 GIDDINGS AVE STE 33, Annapolis, MD 21401
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Other Identifiers 2

Medicare ID-Type UnspecifiedQ131MD
Medicare UPINR09933

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Douglas Gilbert Tilley Ii Lcsw-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2015 through April 1, 2027.

Opt-Out Effective DateApril 1, 2015
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

KATHERINE HEINES THERAPY
Clinic/Center (Adult Mental Health)
716 GIDDINGS AVE STE 33
ANNAPOLIS, MD 21401
Anne Arundel County (443) 370-7403
DR. MARK ALAN HEDLUND PHD
Psychologist (Clinical)
716 GIDDINGS AVE STE 33
ANNAPOLIS, MD 21401
Anne Arundel County (443) 417-5117
MEGAN E. ROSENBLATT LCSW-C
Counselor (Mental Health)
716 GIDDINGS AVE STE 33
ANNAPOLIS, MD 21401
Anne Arundel County (443) 598-2393
PROMOTING POSITIVE CHANGE, LLC
Psychologist
716 GIDDINGS AVE STE 33
ANNAPOLIS, MD 21401
Anne Arundel County (410) 212-2522
SERENITY SEAS THERAPY, LLC
Counselor (Professional)
716 GIDDINGS AVE STE 33
ANNAPOLIS, MD 21401
Anne Arundel County (443) 910-7599
DR. BRIAN MICHAEL ZIMNITZKY M.D.
Psychiatry & Neurology (Psychiatry)
716 GIDDINGS AVE STE 33
ANNAPOLIS, MD 21401
Anne Arundel County (443) 603-1344
OLIVIA BROCATO M.S., LCPC
Counselor (Professional)
716 GIDDINGS AVE STE 33
ANNAPOLIS, MD 21401
Anne Arundel County (443) 910-7599

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 Douglas Tilley's NPI number?

The NPI number for Douglas Tilley is 1689880296. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Douglas Tilley located?

Douglas Tilley practices at 716 Giddings Ave Ste 33, Annapolis, MD 21401. The listed phone number is (410) 268-4072.

What is Douglas Tilley's specialty?

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

Is Douglas Tilley enrolled in Medicare?

No. Douglas Tilley has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Douglas Tilley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.