Individual provider · Type 1 NPI
Nicole Bernadine Tillman, LCSW-C
Clinical Social Worker · Largo, MD
Practice location
9500 Arena Dr Ste 460A
Largo, MD 20774-3755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 15069 (MD) |
| Clinical Social Worker | 1041C0700X | LC50078604 (DC) |
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 1407188261
Nicole Bernadine Tillman, LCSW-C's National Provider Identifier is 1407188261, issued on Feb 4, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Largo, MD. The record was last updated on Feb 4, 2010.