Tillmon, Linda C.

Tillmon, Linda C. is an individual health care provider with primary practice located at 140 Erdman Pl Apt 15F , Bronx NY 10475-5312. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tillmon, Linda C. can be contacted via phone (646) 423-8795.

Contact Information

Primary practice address
140 Erdman Pl Apt 15F Bronx NY 10475-5312
Fax: (929) 286-9775
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 069485 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 076822 New York

Profile Details

NPI number 1356319784
LBN Legal business name Tillmon, Linda C.
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Sep 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356319784 NPPES
New York Other 069485 LICENSE

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