SANKOFA FAMILY COUNSELING SERVICES, LCSW P.L.L.C.
NPI 1861047292
Social Worker - Clinical in Rochester, NY

Active since August 02, 2019
1400 PORTLAND AVE STE 54, ROCHESTER, NY 14621(585) 491-6646(585) 363-5822 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sankofa Family Counseling Services, Lcsw P.l.l.c. NPPES

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

SANKOFA FAMILY COUNSELING SERVICES, LCSW P.L.L.C. (NPI 1861047292) is a healthcare organization registered as a clinical in Rochester, New York and active in the NPI registry since August 2019. The organization lists Khadijah Ella Tillman, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1861047292
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSANKOFA FAMILY COUNSELING SERVICES, LCSW P.L.L.C.
Location Address1400 PORTLAND AVE STE 54Rochester, NY 14621-3014
Mailing Address1400 Portland Ave Ste 54Rochester, NY 14621-3014 · (585) 491-6646 · Fax (585) 363-5822
Fax(585) 363-5822
Organization SubpartNo
Authorized OfficialKhadijah Ella TillmanClinical Social Worker · (585) 713-2071
Enumeration DateAugust 2, 2019
✔ NPI 1861047292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial WorkerTaxonomy 104100000X
1400 PORTLAND AVE STE 54, Rochester, NY 14621

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sankofa Family Counseling Services, Lcsw P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Sankofa Family Counseling Services, Lcsw P.L.L.C., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Social Worker
NPI 1730644006
36 WINTHROP ST FL 2
Rochester, NY 14607
(585) 456-5806
✔ PECOS2.4 mi
Clinical Social Worker
NPI 1851618391
4 CHELMSFORD RD.
Rochester, NY 14609
(585) 713-2071
✔ PECOS✔ Accepts Medicare4.6 mi
Clinical Social Worker
NPI 1407217730
2024 W HENRIETTA RD STE 2A
Rochester, NY 14623
(585) 210-0775
✔ PECOS5.9 mi
Clinical Social Worker
NPI 1942873179
1816 MIDLAND AVE
Syracuse, NY 13205
(315) 383-5657
✔ PECOS✔ Accepts Medicare73 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sankofa Family Counseling Services, Lcsw P.L.L.C.'s NPI number?

The NPI number for Sankofa Family Counseling Services, Lcsw P.L.L.C. is 1861047292. It was assigned to this organization in the NPPES registry on August 2, 2019.

Where is Sankofa Family Counseling Services, Lcsw P.L.L.C. located?

Sankofa Family Counseling Services, Lcsw P.L.L.C. is located at 1400 Portland Ave Ste 54, Rochester, NY 14621. The listed phone number is (585) 491-6646.

What is Sankofa Family Counseling Services, Lcsw P.L.L.C.'s specialty?

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

Is Sankofa Family Counseling Services, Lcsw P.L.L.C. enrolled in Medicare?

Yes. Sankofa Family Counseling Services, Lcsw P.L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sankofa Family Counseling Services, Lcsw P.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Sankofa Family Counseling Services, Lcsw P.L.L.C.. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sankofa Family Counseling Services, Lcsw P.L.L.C. was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.