MEDICARE: ANN L. HELM MSSW, LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	10119	MN
2	1041S0200X	School Social Worker	341393	MN

General Provider Information

NPI Number	:	1548416548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN L. HELM MSSW, LICSW

Provider Business Mailing Address
First Line	:	3640 44TH AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-2906
Country	:	US
Telephone Number	:	612-729-7033
Fax Number	:

Provider Business Practice Location Address
First Line	:	3640 44TH AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-2906
Country	:	US
Telephone Number	:	612-729-7033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2008
Last Update Date	:	08/11/2008

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