Individual provider · Type 1 NPI
Khadijah Ella Tillman, LCSW-R
Clinical Social Worker · Rochester, NY
Practice location
4 Chelmsford Rd.
Rochester, NY 14609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 72074482 (NY) |
| Clinical Social Worker Primary | 1041C0700X | 081603 (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 1851618391
Khadijah Ella Tillman, LCSW-R's National Provider Identifier is 1851618391, issued on Apr 23, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rochester, NY. The record was last updated on Apr 19, 2017.