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

Travon Di Angelo Tillis

Individual provider Clinical Social Worker · NPI 1740407576

Travon Di Angelo Tillis is a Clinical Social Worker in South Pasadena, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
3

Practice location Address checks out

625 Fair Oaks Ave 300
South Pasadena, CA 91030-2630
Phone: (626) 395-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence ASW104373 (CA)
Clinical Social Worker Taxonomy 1041C0700X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1740407576
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 20, 2007
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

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