Tillman Therapeutic Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12757 Issued in FL

Legal business name

TILLMAN THERAPEUTIC SERVICES, PLLC

Practice address

1808 Orchid St
Sarasota, FL 34239-5131

Phone

(941) 313-7040

NPI assigned

Nov 14, 2015

Last updated

Nov 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina Tillman, LCSWNPI 1649428061

Title

Adult & Family Therapist

Phone

(941) 313-7040

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gina Marie Tillman, LCSW

  • Clinical Social Worker
  • Sarasota, FL
  • NPI 1649428061
  Authorized official Same address or phone
• Maureen McSweeney, PH.D.

  • Clinical Psychologist
  • Sarasota, FL
  • NPI 1679639744
  NPD (past)
• Theresa A Callender, LCSW, PA-C

  • Physician Assistant
  • Brunswick, ME
  • NPI 1962410860

  Clinical

  NPD (past)

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

{
    "created_epoch": "1447459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447459200000",
    "number": "1841664836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 GOODPASTURE GLN",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114000",
            "telephone_number": "941-313-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 ORCHID ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395131",
            "telephone_number": "941-313-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLMAN THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-14",
        "last_updated": "2015-11-14",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "ADULT & FAMILY THERAPIST",
        "authorized_official_telephone_number": "941-313-7040",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12758",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Tidwell, LMHC
• Delphine A Tierney, ARNP
• Smith Morgan Tilka, RMHCI
• Tille Eye Care & Associates, LLC
• Charles Tille, O.D.
• Gina Marie Tillman, LCSW
• Anne Marie Timm, PA-C
• Kylie Timmons
• Timothy a Redman PH D LLC
• Timothy a. Redman, PH.D., LLC

• Clinical Social Worker in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2015; 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.