Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khadijah Tillman, LCSW

Organization Clinical Social Worker · NPI 1003280140

Khadijah Tillman, LCSW is a Clinical Social Worker in Rochester, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

4 Chelmsford Rd
Rochester, NY 14618-1755
Phone: (585) 713-2071
Fax: (585) 461-5503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 73081603 (NY)

Record details

NPI number1003280140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khadijah Tillman — Psychotherapist · (585) 713-2071
NPI enumeratedNovember 29, 2015
Last updated in NPPESNovember 29, 2015
Mailing address4 Chelmsford Rd, Rochester, NY 14618-1755

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