Lisa Baker Tillman, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

04876 Issued in MD

Practice address

1122 Kenilworth Dr
Suite 301
Towson, MD 21204-2139

Phone

(410) 952-9701

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1669481883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 OVERLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212142850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR",
            "address_2": "SUITE 301",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042139",
            "telephone_number": "410-952-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "LISA",
        "middle_name": "BAKER",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "QT99",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice M Tien, PHARMD
• Tiffany Healthcare
• Veronica Tilden, PSY.D
• Kenneth Tilles, O.D., P.A.
• Antoinette Michele Tillman, NP
• Mackenzie Grace Tillman
• Tim Herlihy, M.D., P.a.
• Tina's Touch of Massage LLC
• Aislinn Michaelle Tinker-Taylor
• Tesha Tinsley, LMSW

• Clinical Social Worker in Towson, MD
• Providers in Towson, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.