Provider Demographics
NPI:1417038795
Name:HELKENN, SUSAN (LISW)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:
Last Name:HELKENN
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4905 DAKOTA DR
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-2962
Mailing Address - Country:US
Mailing Address - Phone:515-991-1934
Mailing Address - Fax:
Practice Address - Street 1:2130 GRAND AVE STE B
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50312-5384
Practice Address - Country:US
Practice Address - Phone:515-270-0280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA067361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical