MR. DOUGLAS GILBERT TILLEY II (NPI# 1689880296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689880296 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS GILBERT TILLEY II |
| Credential | LCSW-C |
| Practice Address |
716 Giddings Ave Ste 33 Annapolis MD 21401-1408 |
| Practice Telephone | 4102684072 |
| Practice Fax Number | 4102684072 |
| Mailing Telephone | 4102684072 |
| Mailing Fax Number | 4102684072 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MD 02657 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801805981 | Douglas M. Tilley | Dentist | 17460 Ih 35 N Ste 120, Schertz, TX 78154-1209 | 2006-08-06 |
| 1477762482 | Douglas Webster Tilley | Counselor | 3954 Murphy Canyon Rd Ste D202, San Diego, CA 92123-4420 | 2007-05-22 |
| Street Address |
716 GIDDINGS AVE STE 33 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891820908 | Brian Michael Zimnitzky | Psychiatry & Neurology | 716 Giddings Ave Ste 33, Annapolis, MD 21401-1408 | 2007-02-22 |
| 1356968655 | Katherine Heines Therapy | Clinic/Center | 716 Giddings Ave Ste 33, Annapolis, MD 21401-1419 | 2020-07-02 |
| 1689040743 | Promoting Positive Change, LLC | Psychologist | 716 Giddings Ave Ste 33, Annapolis, MD 21401-1419 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| 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 |
|---|---|---|---|---|
| 1669073201 | Deborah Lynn Dey | Social Worker | 810 Bestgate Rd Ste 400, Annapolis, MD 21401-3033 | 2020-11-02 |
| 1134727761 | Justina Stokes | Social Worker | 129 Lubrano Dr Ste 101, Annapolis, MD 21401-7566 | 2020-10-15 |
| 1841897857 | Kathy Leigh Sullivan | Social Worker | 5 Park Pl Unit 527, Annapolis, MD 21401-3454 | 2020-10-02 |
| 1144856295 | Client First Health Solutions, LLC | Social Worker | 1714 Winchester Rd, Annapolis, MD 21409-5851 | 2020-03-20 |
| 1487285573 | Allison Scarinzi | Social Worker | 1220 Gemini Dr Apt Q, Annapolis, MD 21403-1279 | 2020-01-28 |
| 1184267130 | Marna Wollman Brickman | Social Worker | 2431 Solomons Island Rd Ste 200, Annapolis, MD 21401-3730 | 2019-10-22 |
| 1437791969 | Nicole Renee Swann | Social Worker | 132 Holiday Ct Ste 209, Annapolis, MD 21401-7005 | 2019-10-16 |
| 1699333930 | Mara Robertson Duffy | Social Worker | 760 Fairview Ave Apt D, Annapolis, MD 21403-2963 | 2019-06-02 |
| 1972060473 | Noorie Patel | Social Worker | 1182 Bayview Vis, Annapolis, MD 21409-4949 | 2019-02-21 |
| 1528568854 | Kevin S Cameron, Lcsw-c, LLC | Social Worker | 104 Forbes St Ste 205, Annapolis, MD 21401-1598 | 2018-02-13 |
| Find all providers in ANNAPOLIS | ||||
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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.