National Provider Identifier
Sankofa Family Counseling Services, Lcsw P.L.L.C.
Sankofa Family Counseling Services, Lcsw P.L.L.C. is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 491-6646.
Source: public NPPES record, last updated August 02, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1861047292
- Provider Type
- Organization
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 02, 2019
- Last Updated
- August 02, 2019
Practice Location
- 1400 Portland Ave Ste 54
- Rochester, NY 14621-3014
Phone: (585) 491-6646
Authorized Official
- Name
- Khadijah Ella Tillman
- Title
- Clinical Social Worker
- Credentials
- LCSW
- Phone
- (585) 713-2071
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Psychologist (103TC0700X)
- Mental Health Counselor (101YM0800X)
- Social Worker (104100000X)
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Organization Overview
Sankofa Family Counseling Services, LCSW PLLC, operating as Sankofa Family Counseling Services in Rochester, NY, is an outpatient mental health practice serving individuals, families, and children in Western New York. Its official site describes a focus on trauma-focused, culturally responsive care at the individual, family, and community levels, with services for adults, families, and children/teens. The practice’s team page names Khadijah Tillman, LCSW-R, as founder and CEO, and a New York State Senate maternal health resource list also lists Sankofa as a counseling resource.
Full Record
- NPI
- 1861047292
- Entity Type
- Organization
- Organization Name
- Sankofa Family Counseling Services, Lcsw P.L.L.C.
- Mailing Street Address
- 1400 Portland Ave Ste 54
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3014
- Mailing Country
- US
- Mailing Phone
- (585) 491-6646
- Mailing Fax
- (585) 363-5822
- Practice Street Address
- 1400 Portland Ave Ste 54
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3014
- Practice Country
- US
- Practice Phone
- (585) 491-6646
- Practice Fax
- (585) 363-5822
- Enumeration Date
- August 02, 2019
- Last Updated
- August 02, 2019
- Authorized Official Last Name
- Tillman
- Authorized Official First Name
- Khadijah
- Authorized Official Middle Name
- Ella
- Authorized Official Title
- Clinical Social Worker
- Authorized Official Phone
- (585) 713-2071
- Organization Subpart
- No
- Authorized Official Credential Text
- LCSW
- Taxonomy Group 1
- 193400000X Multiple Single Specialty Group
- Taxonomy Group 2
- 193400000X Multiple Single Specialty Group
- Taxonomy Group 3
- 193400000X Multiple Single Specialty Group
- Taxonomy Group 4
- 193400000X Multiple Single Specialty Group
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Psychologist (103TC0700X), Mental Health Counselor (101YM0800X), Social Worker (104100000X)