IndividualActive
Shawnyetta Tillman, MSW,LCSW-A
NPI 1477228351 · Counselor · Fayetteville, NC
Shawnyetta Tillman, MSW,LCSW-A is a Counselor provider in Fayetteville, NC (NPI 1477228351).
Provider details
- NPI number
- 1477228351
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- MSW,LCSW-A
- Sex
- Female
- Sole proprietor
- Yes
- License
- P016608 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone: (910) 286-1670
Street-level locationGet directions
Mailing address
2812 Rosemeade Dr
Fayetteville, NC 28306-9102
Registry dates
- Enumerated
- 2021-08-12
- Last updated
- 2021-08-12
- Certified
- 2021-08-12
Frequently asked questions
- What is Shawnyetta Tillman's NPI number?
- Shawnyetta Tillman's National Provider Identifier (NPI) is 1477228351, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawnyetta Tillman's specialty?
- Shawnyetta Tillman is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Shawnyetta Tillman located?
- Shawnyetta Tillman's practice location on file with NPPES is 1638 Owen Dr, Fayetteville, NC 28304-3424.
- What is Shawnyetta Tillman's phone number?
- The practice phone number listed in the NPPES registry for Shawnyetta Tillman is (910) 286-1670.
- Is Shawnyetta Tillman's NPI active?
- Yes — Shawnyetta Tillman's NPI (1477228351) is active in the NPPES registry as of the last update on 2021-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.