MEDICARE: MS. HELEN WOODBURY MSW & LCSW

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	075558-1	NY

General Provider Information

NPI Number	:	1760671929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HELEN WOODBURY MSW & LCSW

Provider Business Mailing Address
First Line	:	868 YORK AVE SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30310-2750
Country	:	US
Telephone Number	:	404-752-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	5920 SANDY SPRINGS CIR
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-5937
Country	:	US
Telephone Number	:	404-256-8740
Fax Number	:

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

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	08/06/2013

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