Individual provider Active NPI

Danielle Tillman, LCSW, LADC, LADC-S

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1811306350
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12135-C Issued in NV
Practice address
7400 S Virginia St
Reno, NV 89511-1112
Phone
(775) 853-5441
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16173 TX
Clinical Social Worker 1041C0700X 107206 TX
Clinical Social Worker 1041C0700X 12135-C NV Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 06736-S NV
Addiction (Substance Use Disorder) Counselor 101YA0400X 01858-L NV

Addresses

Primary practice location

7400 S Virginia St
Reno, NV 89511-1112

Mailing address

1912 Ese Loop323 # 227
Tyler, TX 75701-8337
Phone (752) 252-4087

Other practice location 1

1912 Ese Loop323 # 227
Tyler, TX 75701-8337
Phone (752) 252-4087 ext. 10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01858-LNVMDAddiction (Substance Use Disorder) Counselor
06736-SNVMDAddiction (Substance Use Disorder) Counselor
16173TXMDProfessional Counselor
12135-CNVMDClinical Social Worker
107206TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Empowerment Center Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1811306350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 ESE LOOP323 # 227",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018337",
            "telephone_number": "752-252-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 S VIRGINIA ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111112",
            "telephone_number": "775-853-5441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1912 Ese Loop323 # 227",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757018337",
            "country_code": "US",
            "telephone_number": "752-252-4087 x10",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "DANIELLE",
        "credential": "LCSW, LADC, LADC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16173",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107206",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12135-C",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "06736-S",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01858-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.