Rita Tillman, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018238 Issued in NC

Practice address

4000 Tuckaseegee Rd
Charlotte, NC 28208-2832

Phone

(704) 523-5745

NPI assigned

Sep 8, 2022

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

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1497476287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 LONG GRASS CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162961",
            "telephone_number": "170-466-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 TUCKASEEGEE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082832",
            "telephone_number": "704-523-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "RITA",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Edward Tilley, LCSW
• India D Tilley, PTA
• Brittany Tillman
• Kayla Tillman
• Loretta I. Tillman, MA
• Robert Harrison Tillman, MD
• Stephanie Tillman
• Zycoria Makayla Tillman, LCSWA
• Cheryl A Tillson, CRNA
• Catherine Marie Timberlake, NP

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.