Organization · Type 2 NPI

Khadijah Tillman, LCSW

Clinical Social Worker · Rochester, NY

NPI number 1003280140 Active

Practice location

4 Chelmsford Rd
Rochester, NY 14618-1755

Fax (585) 461-5503

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X73081603 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1003280140

Khadijah Tillman, LCSW's National Provider Identifier is 1003280140, issued on Nov 29, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rochester, NY. The record was last updated on Nov 29, 2015.