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.
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
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Psychologist (103TC0700X)
- Mental Health Counselor (101YM0800X)
- Social Worker (104100000X)
Endpoints
- www.sankofafamilycounseling.com
Connect Url | Direct | Other | Rochester, NY 14621
Website
Full Record
- NPI
- 1861047292
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- 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
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Psychologist (103TC0700X), Mental Health Counselor (101YM0800X), Social Worker (104100000X)