Individual provider · Type 1 NPI
Jentry Edward Tillman, LCSW
Clinical Social Worker · North Little Rock, AR
Practice location
Camp Joseph T Robinson
North Little Rock, AR 72199-0001
Mailing address
PO Box 009
North Little Rock, AR 72199-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 7490-C (AR) |
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 1811285620
Jentry Edward Tillman, LCSW's National Provider Identifier is 1811285620, issued on Jul 13, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Little Rock, AR. The record was last updated on Sep 18, 2026.