Active NPIIndividual providerSole proprietor

Miriam Tillim, LCSW

Social Worker, Clinical in Whiting, New Jersey

NPI Number1164253241
Practice location
2101 Lake RD, Whiting, NJ 08759-2354
Fax
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Last updated
August 12, 2024

Miriam Tillim is a Social Worker, Clinical based in Whiting, NJ. Miriam Tillim practices in Whiting, NJ and has the professional credentials of LCSW. The NPI Number for Miriam Tillim is 1164253241 and holds a License No. 44SC06266400 (NJ). The current practice location address for Miriam Tillim is 2101 Lake RD, Whiting, NJ 08759-2354 and can be reached out via phone at 347-533-2466.

Provider Profile Details

NPI Number
1164253241
Provider Name
Miriam Tillim
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
2101 Lake RD, Whiting, NJ 08759-2354
Phone Number
347-533-2466
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Miriam Prosky (Former Name)
Provider Enumeration Date
August 12, 2024
Last Update Date
August 12, 2024
Certification Date
August 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2101 Lake RD
Whiting, NJ 08759-2354
Zip
08759-2354
Phone Number
347-533-2466
Whiting, NJ 08759Get directions →

Provider Business Mailing Address Details

Address
2101 Lake RD
Whiting, NJ 08759-2354
City
Whiting
State
NJ
Zip
08759-2354

License Information

License Number
44SC06266400
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miriam Tillim, LCSW?

The NPI number of Miriam Tillim, LCSW is 1164253241. It was assigned on August 12, 2024 and is currently active in the NPPES registry.

What is the specialty of Miriam Tillim, LCSW?

Miriam Tillim, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06266400.

Where does Miriam Tillim, LCSW practice?

The practice location is 2101 Lake RD, Whiting, NJ 08759-2354. The office can be reached at 347-533-2466 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164253241 directly on the NPPES registry website.

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