Individual provider · Type 1 NPI

Stephanie Ann Tillman, LCSW

Clinical Social Worker · Lake Wales, FL

NPI number 1417074014 Active

Practice location

820 Chamberlain Loop
Lake Wales, FL 33853-2800

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW7484 (FL)

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 1417074014

Stephanie Ann Tillman, LCSW's National Provider Identifier is 1417074014, issued on Mar 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Wales, FL. The record was last updated on Jul 9, 2007.