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

MS. Stephanie Ann Tillman, LCSW

Individual provider Clinical Social Worker · NPI 1417074014

MS. Stephanie Ann Tillman, LCSW is a Clinical Social Worker in Lake Wales, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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 Address checks out

820 Chamberlain Loop
Lake Wales, FL 33853-2800
Phone: (863) 528-0402
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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 SW7484 (FL)

Record details

NPI number1417074014
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 9, 2007

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