Provider Demographics
NPI:1467445445
Name:MULLIN, HELEN B (LCSW)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:B
Last Name:MULLIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 PLUMB 1ST ST
Mailing Address - Street 2:APT 6H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-5772
Mailing Address - Country:US
Mailing Address - Phone:347-374-5637
Mailing Address - Fax:347-374-5637
Practice Address - Street 1:26 COURT ST
Practice Address - Street 2:SUITE 504
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242-0103
Practice Address - Country:US
Practice Address - Phone:516-924-5665
Practice Address - Fax:347-374-5637
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-044832-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P2706195OtherOXFORD HMO PROVIDER NUMBE
NYR-0444832-1OtherCLINICAL SOCIAL WORK LIC
NY000101000301OtherHEALTH PLUS HMO NO.
R-044832 NO1OtherHIP HMO PROVIDER NUMBER
N4B691Medicare ID - Type Unspecified