KHADIJAH ELLA TILLMAN LCSW-R
NPI 1851618391
Social Worker - Clinical in Rochester, NY
About Khadijah Ella Tillman Lcsw-r NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHADIJAH ELLA TILLMAN LCSW-R (NPI 1851618391) is an individual clinical provider in Rochester, New York, licensed in New York (081603) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Khadijah Ella Tillman Lcsw-r is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Khadijah Tillman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester, NY 14621
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Sankofa Family Counseling Services Lcsw PLLC
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Khadijah Tillman's NPI number?
The NPI number for Khadijah Tillman is 1851618391. It was assigned to this individual provider in the NPPES registry on April 23, 2010.
Where is Khadijah Tillman located?
Khadijah Tillman practices at 4 Chelmsford Rd., Rochester, NY 14609. The listed phone number is (585) 713-2071.
What is Khadijah Tillman's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Khadijah Tillman enrolled in Medicare?
Yes. Khadijah Tillman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Khadijah Tillman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khadijah Tillman reassigns Medicare benefits to Sankofa Family Counseling Services, Lcsw P.L.L.C. (Rochester, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khadijah Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Khadijah Tillman accept?
Health plans from Oscar Health list Khadijah Tillman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Khadijah Tillman was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Khadijah Ella Tillman, LCSW-R · NPI 1851618391
Clinical provider in Rochester, New York. Individual provider, active in the CMS NPPES registry since April 23, 2010.
## Identity
- **NPI:** 1851618391 (Entity type: Individual)
- **Enumerated:** April 23, 2010
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 081603 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4 CHELMSFORD RD., Rochester, NY 14609
- **Phone:** (585) 713-2071
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sankofa Family Counseling Services, Lcsw P.L.L.C. (NPI 1861047292, Rochester, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** April 19, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1851618391) · Data from the CMS NPPES public registry.