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

Tillary Tice, LCSW

Individual provider Clinical Social Worker · NPI 1326607417

Tillary Tice, LCSW is a Clinical Social Worker in Atlanta, Georgia. Qualified in 2018, 8 years ago. Practices with Sailor Health Medical PA, a 263-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado, Iowa, North Carolina and New Hampshire and 1 more.

Years since qualifying
8
Licensed in
CO, IA, NC, NH, TX
In the registry since
2019
Specialties on file
5
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

1441 Woodmont Ln NW Ste 389
Atlanta, GA 30318
Phone: (609) 949-1661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 67 Robert Baker Ct, Hinesville, GA 31313-0032 — (609) 949-1661
  • 3911 Appalachian Trl, Killeen, TX 76549-6902 — (609) 949-1661

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW.09928294 (CO)
Clinical Social Worker Taxonomy 1041C0700X · Licence TPSW753 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence TPSW753 (NH)
Clinical Social Worker Taxonomy 1041C0700X · Licence 118829 (IA)
Clinical Social Worker Taxonomy 1041C0700X · Licence C013683 (NC)

Record details

NPI number1326607417
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 11, 2019
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sailor Health Medical Pa — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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