JACQUELINE TILLMAN (NPI# 1639398662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639398662 |
| Entity Type | Individual |
| Full Name | JACQUELINE TILLMAN |
| Credential | RAS |
| Practice Address |
11015 Bloomfield Ave Santa Fe Springs CA 90670-4601 |
| Mailing Address |
10669 Ellen St El Monte CA 91731-1205 |
| Practice Telephone | 6264856088 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2012-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
11015 BLOOMFIELD AVE |
| City | SANTA FE SPRINGS |
| State | CA |
| Zip Code | 90670-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427050244 | Los Angeles Centers for Alcohol and Drug Abuse | Substance Abuse Rehabilitation Facility | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2005-08-11 |
| 1720689300 | Gabriela De Jesus | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-11-02 |
| 1477150217 | Sherrina Barnes | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-10-05 |
| 1477169456 | Garrett Silva | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-16 |
| 1083229702 | Michelle Robles | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-10 |
| 1497360101 | Laura Robles-duarte | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-10 |
| 1487269106 | Jazmin Heredia | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-10 |
| 1003421728 | Elvia Macias | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-10 |
| 1649885369 | Jennifer Rios | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-10 |
| 1467067181 | Vanessa Wilson | Counselor | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2020-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283279 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 11721 East Telegraph Road Unit I, Santa Fe Springs, CA 90670 | 2020-04-13 |
| 1487205563 | Jurrell Davis | Counselor | 16332 Marvene Dr., Santa Fe Springs, CA 90670 | 2019-09-20 |
| 1003370065 | Amber D Perez-riggins | Counselor | 11015 Bloomfiled Ave, Santa Fe Springs, CA 90670 | 2019-01-24 |
| 1154832749 | Los Angeles Center for Alcohol and Drug Abuse | Clinic/Center | 12580 Lakeland Road, Santa Fe Springs, CA 90670 | 2017-10-23 |
| 1518481001 | Cecilia Bueno | Case Manager/Care Coordinator | 11721 Telegraph Rd, Santa Fe Springs, CA 90670 | 2017-07-27 |
| 1447773148 | Richard Paige | Counselor | 10425 S. Painter Ave., Santa Fe Springs, CA 90670 | 2017-07-25 |
| 1326578709 | Mariah Patricia Ramirez | Counselor | 11741 Telegraph Rd Ste A-d, Santa Fe Springs, CA 90670 | 2017-06-18 |
| 1578947446 | Robynn Coleman | In Home Supportive Care | 10510 Maple Lane, Santa Fe Springs, CA 90670 | 2015-07-10 |
| 1003218314 | Norma Gonzalez | Case Manager/Care Coordinator | 11741 E. Telegraph Road, Santa Fe Springs, CA 90670 | 2014-09-17 |
| 1932510617 | Antonio Matinez Sr. | Rehabilitation Practitioner | 10012 Norwalk Blvd Suite 140, Santa Fe Springs, CA 90670 | 2014-05-15 |
| Find all providers in zip 90670 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982177465 | Caleb Britton | Social Worker | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2019-01-07 |
| 1386111557 | Ivelis Colon | Social Worker | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2018-10-25 |
| 1164906947 | Daniel Garcia | Social Worker | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2018-09-18 |
| 1114409042 | Lorena Bravo | Social Worker | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2018-09-06 |
| 1659884138 | Monalisa Salazar | Social Worker | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2017-11-07 |
| 1467962399 | Justin Low | Social Worker | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2017-10-05 |
| 1982114856 | Omri Elioenai Medina | Social Worker | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2017-10-05 |
| 1316457112 | Robert Casas | Social Worker | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2017-10-05 |
| 1093225153 | James William Clark | Social Worker | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2017-10-03 |
| 1215478037 | Kieyonna Roberts | Social Worker | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2017-03-13 |
| Find all providers in SANTA FE SPRINGS | ||||
| City | SANTA FE SPRINGS |
| Zip Code | 90670 |
Please comment or provide details below to improve the information on JACQUELINE TILLMAN.
| 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.