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

Mr. Jentry Edward Tillman, LCSW

Individual provider Clinical Social Worker · NPI 1811285620

Mr. Jentry Edward Tillman, LCSW is a Clinical Social Worker in North Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2011.

Licensed in
AR
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Partly verified

Some contact details are missing from the federal record.

Camp Joseph T Robinson
North Little Rock, AR 72199-0001
Phone: (501) 212-5441
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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 7490-C (AR)

Record details

NPI number1811285620
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 13, 2011
Last updated in NPPESDecember 22, 2016

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