Provider Demographics
NPI:1699005249
Name:HELMER, KIPP LEE (MSW)
Entity Type:Individual
Prefix:
First Name:KIPP
Middle Name:LEE
Last Name:HELMER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 W 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-3412
Mailing Address - Country:US
Mailing Address - Phone:509-747-7147
Mailing Address - Fax:509-747-3828
Practice Address - Street 1:4511 S RANGER RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99224-6122
Practice Address - Country:US
Practice Address - Phone:509-747-7147
Practice Address - Fax:509-747-3828
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW 601277041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical