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

Individual provider Clinical Social Worker · NPI 1942794243

Miss. Lucretia Beanica Tillman, LCSWA is a Clinical Social Worker in Clover, South Carolina. Qualified in 2017, 9 years ago. Practices with Scotland Memorial Hospital, Inc, a 257-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2018
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Practice location Address checks out

1020 Wylie Springs Cir Apt 17-201
Clover, SC 29710-0500
Phone: (980) 328-6234
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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 P011435 (NC)

Record details

NPI number1942794243
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedJune 20, 2018
Last updated in NPPESJune 20, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Scotland Memorial Hospital, Inc — 257 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Clover