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KHADIJAH ELLA TILLMAN LCSW-R
NPI 1851618391
Social Worker - Clinical in Rochester, NY

Active since April 23, 2010PECOS EnrolledAccepts Medicare Assignment
4 CHELMSFORD RD., ROCHESTER, NY 14609(585) 713-2071 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1851618391
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKHADIJAH ELLA TILLMANCredential: LCSW-R
Location Address4 CHELMSFORD RD.Rochester, NY 14609
Mailing Address4 Chelmsford Rd.Rochester, NY 14609 · (585) 713-2071
Phone(585) 713-2071
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateApril 23, 2010
Last NPPES UpdateApril 19, 2017
✔ NPI 1851618391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 081603
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 72074482 (NY)
4 CHELMSFORD RD., Rochester, NY 14609
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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID648495994
PECOS Enrollment IDI20140701000562
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

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.