Glen Tilghman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8251 Issued in TN

Practice address

374 N Parkway Ste B4
Jackson, TN 38305-2895

Phone

(731) 300-5131

NPI assigned

Jul 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• New Leaf Counseling, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Union City, TN
  • NPI 1407614043
  NPD Authorized official
• Here'S Hope Counseling Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Smithville, TN
  • NPI 1811144728
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1043882483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 PREACHER DOWLAND RD",
            "city": "KENTON",
            "state": "TN",
            "postal_code": "382333071",
            "telephone_number": "731-445-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 N PARKWAY STE B4",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052895",
            "telephone_number": "731-300-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILGHMAN",
        "first_name": "GLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Angel Thornton, R.D.
• Three Wishes, Inc.
• Thrive West Tennessee
• Thrive4Wholeness LLC
• Regina Tignor, FNP-C
• Amy H Tillman, SLP
• Katherine Tillman, OTR
• Julie A Timberlake, A.P.R.N.
• Timeless Care LLC
• Tina B. Jaspan

• Clinical Social Worker in Jackson, TN
• Providers in Jackson, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.