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General NPI Number Information
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NPI Number | 1790503241
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Entity Type | Organization
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Legal Business Name | CHELSEY HELMKE LICSW LLC
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 39 PLEASANT STREET
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City | BOURNE
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State | MA
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Zip | 02532
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Country | US
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Telephone | 774-521-0967
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Fax |
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Provider Business Mailing Address
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Address Line | 40 COVE ROAD
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City | FORESTDALE
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State | MA
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Zip | 02644
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Country | US
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Telephone | 774-521-0967
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Fax |
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Authorized Official
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Title or Position | LICENSED INDEPENDENT CLINICAL SOCIA
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Name | CHELSEY L HELMKE
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Credential |
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Telephone | 774-521-0967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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