Provider Demographics
NPI:1891959425
Name:HELMERING, DORIS WILD (LCSW BCD)
Entity Type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:WILD
Last Name:HELMERING
Suffix:
Gender:F
Credentials:LCSW BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2190 S MASON RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131
Mailing Address - Country:US
Mailing Address - Phone:314-965-3803
Mailing Address - Fax:314-822-3828
Practice Address - Street 1:2190 S MASON RD
Practice Address - Street 2:SUITE 301
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131
Practice Address - Country:US
Practice Address - Phone:314-965-3803
Practice Address - Fax:314-822-3828
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0004411041C0700X
MO000441106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical