Healthcare Provider Details

I. General information

NPI: 1508075037
Provider Name (Legal Business Name): HELEN HIGGINS LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HELEN MARIE MILLER LCSW

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 03/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS ST BRIGHAM AND WOMEN'S HOSPITAL
BOSTON MA
02115-6110
US

IV. Provider business mailing address

20 PATRIOT PLACE BRIGHAM AND WOMEN'S FOXBORO PRIMARY CARE
FOXBORO MA
02035
US

V. Phone/Fax

Practice location:
  • Phone: 617-525-6702
  • Fax:
Mailing address:
  • Phone: 508-718-4516
  • Fax: 508-718-4051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number113515
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: