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Conley Tillman JR.
Addiction (Substance Use Disorder) Counselor in Springfield, Ohio
NPI 1629549423

Conley Tillman JR. is an Addiction (Substance Use Disorder) Counselor based in Springfield, OH and is specialized in Addiction (Substance Use Disorder). Conley Tillman JR. practices in Springfield, OH. The NPI Number for Conley Tillman JR. is 1629549423 and holds a License No. W.1800116 (Ohio).

The current practice location address for Conley Tillman JR. is 2624 Lexington Ave, Springfield, OH and can be reached out via phone at 937-328-5300 and via fax at 937-322-4900.

Location: 2624 Lexington Ave, Springfield, OH, 45505-2620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629549423
Provider Name
Conley Tillman JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2624 Lexington Ave, Springfield, OH, 45505-2620
Phone Number
937-328-5300
Fax Number
937-322-4900
Provider Enumeration Date
12/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2624 Lexington Ave
City
Springfield
State
Ohio
Zip
45505-2620
Phone Number
937-328-5300
Fax Number
937-322-4900
person
Provider Business Mailing Address Details
Address
2624 Lexington Ave
City
Springfield
State
Ohio
Zip
45505-2620
Phone Number
937-328-5300
Fax Number
937-322-4900
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LCDCIII.162257 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
CDCA.166069 (Ohio)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
W.1800116 (Ohio)
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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