Khadijah Tillman, Lcsw

LBN: Khadijah Tillman, Lcsw
Khadijah Tillman, Lcsw is an health care organization with primary practice located at 4 Chelmsford Rd , Rochester NY 14618-1755. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Khadijah Tillman, Lcsw can be contacted via phone (585) 713-2071, or through Tillman, Khadijah via phone (585) 713-2071.

Contact Information

Primary practice address
4 Chelmsford Rd Rochester NY 14618-1755
Phone: (585) 713-2071
Fax: (585) 461-5503
Website:
Map and Directions
Authorized official contact:
Name: Tillman, Khadijah Licensed Clinical Social Worker (LCSW)
Phone: (585) 713-2071

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 73081603 New York

Profile Details

NPI number 1003280140
LBN Legal business name Khadijah Tillman, Lcsw
DBA Doing business as
Authorized official Tillman, Khadijah Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2015
Last updated Nov 29th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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