MEDICARE: GERI HELFAND 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1306394416	OTHER	IL	TYPE 2 NPI

General Provider Information

NPI Number	:	1851014427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERI HELFAND LCSW

Provider Business Mailing Address
First Line	:	3808 N ASHLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-5382
Country	:	US
Telephone Number	:	312-217-5887
Fax Number	:

Provider Business Practice Location Address
First Line	:	2135 W ROSCOE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-6275
Country	:	US
Telephone Number	:	312-217-5887
Fax Number	:

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

Provider Enumeration Date	:	09/20/2022
Last Update Date	:	09/20/2022

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