Joan Columbia Tillich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW3113 Issued in HI

Practice address

1130 N Nimitz Hwy
Suite A203
Honolulu, HI 96817-4579

Phone

(808) 537-9998

Fax

(808) 738-5821

NPI assigned

Aug 7, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245249267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N NIMITZ HWY",
            "address_2": "SUITE A203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174579",
            "telephone_number": "808-537-9998",
            "fax_number": "808-738-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N NIMITZ HWY",
            "address_2": "SUITE A203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174579",
            "telephone_number": "808-537-9998",
            "fax_number": "808-738-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLICH",
        "first_name": "JOAN",
        "middle_name": "COLUMBIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW3113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052502",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSC BCBS",
            "identifier": "R60088",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ching, MD, Inc
• Tiffe, LLC
• Tiger Lily Psychiatry and Wellness, LLC
• Sergei Tikhonenkov, MD
• Kelli Till, MA, CCC-SLP
• Rene Stephan Tillich, PHD
• Erin Tillman, MA, ATC
• Mulimuli Tilo
• Sara Tilton
• Patrice M. L. Tim Sing, MD

• Clinical Social Worker in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.