Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khadijah Tillman, LCSW

Organization Clinical Social Worker · NPI 1003280140

Khadijah Tillman, LCSW provides Clinical Social Worker services in Rochester, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

4 Chelmsford Rd
Rochester, NY 14618-1755 Not confirmed with CMS for 10 years — call before visiting
Phone: (585) 713-2071
Fax: (585) 461-5503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 73081603 (NY)

Record details

NPI number1003280140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khadijah Tillman — Psychotherapist · (585) 713-2071
NPI enumeratedNovember 29, 2015
Last updated in NPPESNovember 29, 2015
Mailing address4 Chelmsford Rd, Rochester, NY 14618-1755

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