DR. MICHAEL GEORGE TILL (NPI# 1528218328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528218328 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GEORGE TILL |
| Credential | PH.D., LCSW |
| Practice Address |
17844 E 23rd St S Independence MO 64057-1840 |
| Practice Telephone | 8162543652 |
| Practice Fax Number | 8162549243 |
| Mailing Telephone | 8162543652 |
| Mailing Fax Number | 8162549243 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2014-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2008004864 | MO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2007033658 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184665630 | Michael Brian Till | Family Medicine | 1100 Sawgrass Village Dr, Suite 100, Ponte Vedra Beach, FL 32082-5048 | 2006-06-08 |
| Street Address |
17844 E 23RD ST S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770580730 | Sofia S Khan | Internal Medicine | 17844 E 23rd St S, Independence, MO 64057-1840 | 2005-07-06 |
| 1871107334 | Alyssa Strain | Social Worker | 17844 E 23rd St S, Independence, MO 64057-1840 | 2020-09-02 |
| 1285242883 | Natalie Msechu | Social Worker | 17844 E 23rd St S, Independence, MO 64057-1840 | 2020-07-20 |
| 1275151771 | Johnna Russell | Social Worker | 17844 E 23rd St S, Independence, MO 64057-1840 | 2020-07-10 |
| 1194356899 | Jill Marie Tam | Counselor | 17844 E 23rd St S, Independence, MO 64057-1840 | 2020-01-31 |
| 1700416187 | Kyle Lowe | Counselor | 17844 E 23rd St S, Independence, MO 64057-1840 | 2020-01-24 |
| 1669002747 | Casey Becker | Counselor | 17844 E 23rd St S, Independence, MO 64057-1840 | 2020-01-17 |
| 1003454182 | Heather Hayes | Social Worker | 17844 E 23rd St S, Independence, MO 64057-1840 | 2019-12-19 |
| 1235777509 | Justin Toh | Counselor | 17844 E 23rd St S, Independence, MO 64057-1840 | 2019-12-17 |
| 1467003327 | Katrina Fox | Social Worker | 17844 E 23rd St S, Independence, MO 64057-1840 | 2019-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| 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 |
|---|---|---|---|---|
| 1184274730 | Nathan Andrew Reed | Social Worker | 4913 Downey Ave, Independence, MO 64055-5319 | 2019-09-16 |
| 1891344511 | Kathleen M Daley | Social Worker | 842 Ridgepoint Dr, Independence, KY 41051-8389 | 2019-09-05 |
| 1154970887 | Alejandra Quintana | Social Worker | 3737 S Elizabeth St Ste 100, Independence, MO 64057-1785 | 2019-09-05 |
| 1437614435 | Lakeysha Renee Fontenot | Social Worker | 3737 S Elizabeth St Ste 200, Independence, MO 64057-1785 | 2019-02-04 |
| 1356855407 | Ashley Knight | Social Worker | 6200 Rockside Woods Blvd N Ste 310, Independence, OH 44131-2343 | 2017-11-28 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1205355252 | Counseling Services of Kansas, LLC | Social Worker | 201 N Penn Ave Ste 401, Independence, KS 67301-3354 | 2017-09-11 |
| 1184141202 | Stone and Bush Homes,llc | Social Worker | 12600 E 40 Hwy Ste 101, Independence, MO 64055-5909 | 2017-08-29 |
| 1861930141 | Elizabeth M Higgins | Social Worker | 15814 E 24 Hwy, Independence, MO 64050-2015 | 2017-02-07 |
| 1699212894 | Stacy Steely | Social Worker | 700 E College St, Independence, MO 64050-3145 | 2017-01-25 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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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.