Provider Demographics
NPI:1760435127
Name:SCHANDOLPH, HELEN D (LCSW)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:D
Last Name:SCHANDOLPH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:M
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 13309
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-0309
Mailing Address - Country:US
Mailing Address - Phone:912-355-3881
Mailing Address - Fax:912-355-3887
Practice Address - Street 1:224 STEPHENSON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5920
Practice Address - Country:US
Practice Address - Phone:912-355-3881
Practice Address - Fax:912-355-3887
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0030681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP6610Medicare ID - Type UnspecifiedPROVIDER NUMBER