Healthcare Provider Details

I. General information

NPI: 1811161961
Provider Name (Legal Business Name): NANCY A HELSTERN MSW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2008
Last Update Date: 07/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 E CENTER STREET EXT
WARSAW IN
46582-3907
US

IV. Provider business mailing address

3201 E CENTER STREET EXT
WARSAW IN
46582-3907
US

V. Phone/Fax

Practice location:
  • Phone: 574-267-1700
  • Fax: 574-267-0017
Mailing address:
  • Phone: 574-267-1700
  • Fax: 574-267-0017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34006681A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: