Provider Demographics
NPI:1659584696
Name:DUANE-SONSER, HELEN (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:DUANE-SONSER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 CENTURY MEDICAL DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-2100
Mailing Address - Country:US
Mailing Address - Phone:321-268-6264
Mailing Address - Fax:321-264-0727
Practice Address - Street 1:5005 PORT ST JOHN PARKWAY
Practice Address - Street 2:SUITE 2400
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-4979
Practice Address - Country:US
Practice Address - Phone:321-268-6808
Practice Address - Fax:321-264-0727
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0631501041C0700X
FLSW 99001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLEJ352ZMedicare PIN