Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Khadijah Ella Tillman, LCSW-R

Individual provider Social Worker · NPI 1851618391

Khadijah Ella Tillman, LCSW-R is a Clinical Social Worker in Rochester, New York. Qualified in 2006, 20 years ago. Practices with Sankofa Family Counseling Services LCSW PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

4 Chelmsford Rd
Rochester, NY 14609
Phone: (585) 713-2071
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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 081603 (NY)
Social Worker Taxonomy 104100000X · Licence 72074482 (NY)

Record details

NPI number1851618391
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedApril 23, 2010
Last updated in NPPESApril 19, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Sankofa Family Counseling Services Lcsw Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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