Provider Demographics
NPI:1023085529
Name:KAUFFMAN, HELEN S (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:S
Last Name:KAUFFMAN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 DUNKIRK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-1815
Mailing Address - Country:US
Mailing Address - Phone:410-908-8778
Mailing Address - Fax:
Practice Address - Street 1:222 BOSLEY AVE
Practice Address - Street 2:SUITE C-2
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-4328
Practice Address - Country:US
Practice Address - Phone:410-908-8778
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD088121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical