Laurie Delia Tillberry, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116577 Issued in MA

Practice address

45 Crane Ave
Suite 2
East Longmeadow, MA 01028-2331

Phone

(413) 525-8400

NPI assigned

Sep 22, 2011

Sex

Female

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

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.

• Staffier Associates Inc

  • Community/Behavioral Health Agency
  • Westborough, MA
  • NPI 1902968217
  NPD (past)

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1083997316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NORTHWOOD DR",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CRANE AVE",
            "address_2": "SUITE 2",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282331",
            "telephone_number": "413-525-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLBERRY",
        "first_name": "LAURIE",
        "middle_name": "DELIA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Women'S Center for Healing, Inc.
• Therapeutic Connection, P.C.
• Albert E Thielen Jr., MD
• Kevon Thompson
• Brian William Tierney, MPT
• Torrington Family Dental
• Frank A. Toscanini, D.C.
• Town of East Longmeadow
• Town of East Longmeadow
• Tribe Institute LLC

• Clinical Social Worker in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.