Linda C. Tillmon, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076822 Issued in NY

Practice address

140 Erdman PL Apt 15F
Bronx, NY 10475-5312

Phone

(646) 423-8795

Fax

(929) 286-9775

NPI assigned

Mar 10, 2006

Last updated

Sep 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tillmon Behavioral Health Services LLC

  • Clinical Social Worker
  • Bronx, NY
  • NPI 1366178774
  NPD Authorized official
• The Institute for Family Health

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1144593203

  Clinical

  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1356319784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 FRISBY AVE STE 104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613240",
            "telephone_number": "718-239-1610",
            "fax_number": "718-792-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ERDMAN PL APT 15F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755312",
            "telephone_number": "646-423-8795",
            "fax_number": "929-286-9775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1597 Unionport Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104625902",
            "country_code": "US",
            "telephone_number": "718-882-1818",
            "fax_number": "718-822-9144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2590 Frisby Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104613240",
            "country_code": "US",
            "telephone_number": "718-239-1610",
            "fax_number": "718-792-7053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLMON",
        "first_name": "LINDA",
        "middle_name": "C.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "069485",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "069485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiga Pediatrics PC
• Nadia Tijani, FNP
• Ramiro Tijerina Marquez, MD
• Jon Peter Tilley, DO
• Tillmon Behavioral Health Services LLC
• Rajiev Timal, RPA-C
• Yulya Timashpolsky, M.D.
• Neilawattie Merna Timaul
• Nomer Sibug Timbang
• Lou N Timbol, OT

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.