Lorraine Tillman, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW009065 Issued in GA

Practice address

2012 Eastview Pkwy Ste 400
Conyers, GA 30013-5701

Phone

(770) 679-0586

NPI assigned

Jan 16, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lorraine Tillman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia Counseling Inc

  • Community/Behavioral Health Agency
  • Stockbridge, GA
  • NPI 1043677362
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1013547215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 SAINT PHILLIPS CT",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302484360",
            "telephone_number": "770-898-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 EASTVIEW PKWY STE 400",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135701",
            "telephone_number": "770-679-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "LORRAINE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW009065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "TILLMAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tristen Quiera Thompson, BS, MS
• Thrive With Care, LLC
• Through His Hands, Inc.
• Darlene Lois Tiggs, LCSW
• Candace Marvenia Tillman, RNC, MS, WHNP-BC
• Stautcia Tillman, MS, LPC, NCC
• Tma Counseling and Coaching Services, LLC
• To the Root Counseling & Coaching
• Mark Tomberlin Jr., LPC
• Bassam Tome, M.D.

• Social Worker in Conyers, GA
• Providers in Conyers, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.