DENISE I. TILLERY (NPI# 1205085263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205085263 |
| Entity Type | Individual |
| Full Name | DENISE I. TILLERY |
| Credential | LCSW |
| Practice Address |
500 Jefferson Blvd Suite 195 West Sacramento CA 95605-2350 |
| Practice Telephone | 9164032970 |
| Practice Fax Number | 5302045255 |
| Mailing Telephone | 9164032970 |
| Mailing Fax Number | 5302045255 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2015-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW65928 | CA | Behavioral Health & Social Service Providers |
| Street Address |
500 JEFFERSON BLVD SUITE 195 |
| City | WEST SACRAMENTO |
| State | CA |
| Zip Code | 95605-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821632696 | Janette Rodriguez | Student in an Organized Health Care Education/Training Program | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2019-11-04 |
| 1528611860 | Bithiah Keturah Delgado | Counselor | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2019-07-16 |
| 1619446796 | Juan C Gomez | Social Worker | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2018-11-18 |
| 1710454459 | Jennifer Longan | Student in an Organized Health Care Education/Training Program | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2018-10-31 |
| 1306320841 | Tuc Quyen Chappell | Nurse Practitioner | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2018-09-20 |
| 1295196996 | Jacqueline Davis | Counselor | 500 Jefferson Blvd, Suite B, West Sacramento, CA 95605-2350 | 2016-03-09 |
| 1699159350 | Neal Liggins | Counselor | 500 Jefferson Blvd, Bldg B, West Sacramento, CA 95605-2350 | 2015-07-13 |
| 1275930364 | Sontine Kalba | Case Manager/Care Coordinator | 500 Jefferson Blvd, Suite B195, West Sacramento, CA 95605-2350 | 2014-12-04 |
| 1760882526 | Nicole Goodman | Social Worker | 500 Jefferson Blvd, West Sacramento, CA 95605 | 2014-08-29 |
| 1861808883 | Venus De Coy | Technician, Pathology | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2014-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551502 | Bridgecare Solutions Are LLC | Nurse Practitioner | 612 Watercolor Lane, West Sacramento, CA 95605 | 2020-06-02 |
| 1104316413 | West Sacramento Nursing and Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 751 Elm Street, West Sacramento, CA 95605 | 2018-05-11 |
| 1760735336 | Kaplan Alexander Dental Corporation | Dentist | 759 Ikea Ct, 110, West Sacramento, CA 95605 | 2012-10-19 |
| 1558616912 | David Anthony Cardenas | Counselor | 540 Kegle Dr, Sacrament, CA 95605 | 2012-07-20 |
| 1124304811 | Marc Aaron Scharbrough | Social Worker | 500 Jefferson Blvd #b150, West Sacramento, CA 95605 | 2011-10-26 |
| 1750663308 | Alexandra Gabrielle Garton | Marriage & Family Therapist | 500b Jefferson Blvd., Suite 195, West Sacramento, CA 95605 | 2011-09-09 |
| 1891093902 | Tegwin Millard | Counselor | 500b Jefferson Blvd Ste 195, West Sacramento, CA 95605 | 2011-03-14 |
| 1962639005 | Beverley Elizabeth Calderone | Psychologist | 500-b Jefferson Boulevard, Suite 150, West Sacramento, CA 95605 | 2009-06-16 |
| 1164671616 | Lien Pham Xi | Marriage & Family Therapist | 500 Jefferson Blvd Ste B, West Sacramento, CA 95605 | 2008-09-09 |
| 1497968960 | Holly Lenore Smith | Registered Nurse | Yolo County Health Dept., 500 B Jefferson Blvd., Suite 170, West Sacramento, CA 95605 | 2007-05-08 |
| Find all providers in zip 95605 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831520436 | Denise Nicole Lowery | Social Worker | 2950 Beacon Blvd Ste 100, West Sacramento, CA 95691-5032 | 2013-12-06 |
| 1124304811 | Marc Aaron Scharbrough | Social Worker | 500 Jefferson Blvd #b150, West Sacramento, CA 95605 | 2011-10-26 |
| 1801127246 | Alyssa Marie Dhillon | Social Worker | 2364 Coffeeberry Rd, West Sacramento, CA 95691-4558 | 2010-01-25 |
| 1851400089 | Barbara Gaye Brown | Social Worker | 1250 Harbor Blvd, Suite 600, West Sacramento, CA 95691-3453 | 2006-08-30 |
| 1023127941 | John Leon Holliday | Social Worker | 2945 Ramco St Ste 180, West Sacramento, CA 95691-5995 | 2006-08-30 |
| 1366086472 | Janneth Liborio-lulo | Social Worker | 500 Jefferson Blvd # B, West Sacramento, CA 95605-2350 | 2019-10-31 |
| 1619446796 | Juan C Gomez | Social Worker | 500 Jefferson Blvd, West Sacramento, CA 95605-2350 | 2018-11-18 |
| 1487123642 | Nancy E Tinajero | Social Worker | 2101 Stone Blvd Ste 175, West Sacramento, CA 95691-4055 | 2018-11-17 |
| 1306323563 | Champagne Clark | Social Worker | 500b Jefferson Blvd, West Sacramento, CA 95605-2349 | 2018-07-20 |
| 1588171730 | Alicia Mittleman Licensed Clinical Social Worker Counseling Services | Social Worker | 2101 Stone Blvd Ste 175, West Sacramento, CA 95691-4055 | 2018-01-09 |
| Find all providers in WEST SACRAMENTO | ||||
| City | WEST SACRAMENTO |
| Zip Code | 95605 |
Please comment or provide details below to improve the information on DENISE I. TILLERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.