Healthcare Provider Details

I. General information

NPI: 1760435127
Provider Name (Legal Business Name): HELEN D. SCHANDOLPH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: HELEN M. DUNN LCSW

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 STEPHENSON AVE SUITE C
SAVANNAH GA
31405-5920
US

IV. Provider business mailing address

PO BOX 13309
SAVANNAH GA
31416-0309
US

V. Phone/Fax

Practice location:
  • Phone: 912-355-3881
  • Fax: 912-355-3887
Mailing address:
  • Phone: 912-355-3881
  • Fax: 912-355-3887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW003068
License Number StateGA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: