TILLARY TICE (NPI# 1326607417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326607417 |
| Entity Type | Individual |
| Full Name | TILLARY TICE |
| Credential | LMSW |
| Practice Address |
3911 Appalachian Trl Killeen TX 76549-6902 |
| Practice Telephone | 6099491661 |
| Mailing Telephone | 6099491661 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 66536 | TX | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
P013179 | NC | Behavioral Health & Social Service Providers |
| Street Address |
3911 APPALACHIAN TRL |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093345704 | Sheena Moore | Social Worker | 1303 Excel Dr, Killeen, TX 76542-5839 | 2020-01-22 |
| 1023588977 | Patricia A Fasano | Social Worker | 2710 Traditions Dr, Killeen, TX 76549-5888 | 2018-12-03 |
| 1295235612 | Tasa Harris | Social Worker | 810 N W S Young Dr Ste A, Killeen, TX 76543-4050 | 2018-02-13 |
| 1508158247 | Michelle D Tucker | Social Worker | 508 North 8th Street, Killeen, TX 76541 | 2011-05-13 |
| 1245470277 | Melissia Elaine Beckham | Social Worker | 2201 S W S Young Dr Ste 117a1, Killeen, TX 76543-5338 | 2009-03-04 |
| 1689856767 | Mariella Reano | Social Worker | 2200 Maedell Dr, Killeen, TX 76542-4098 | 2007-11-30 |
| 1881899482 | Bettina Renee Cochran | Social Worker | 1601 Arkansas Ave, Killeen, TX 76541-8268 | 2007-06-15 |
| 1811058928 | Rosie R Wright Sr. | Social Worker | 2404 Fieldstone Dr, Killeen, TX 76549-8594 | 2006-12-12 |
| 1043378995 | Anita J Williams | Social Worker | 2709 Hezekiah Dr, Killeen, TX 76542-4598 | 2006-12-04 |
| 1891802799 | San Juanita Zoila Trevino | Social Worker | 411 E Vega Ln, Killeen, TX 76542-6428 | 2006-08-24 |
| Find all providers in KILLEEN | ||||
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| 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.