Provider Demographics
NPI:1336577113
Name:HELLE-MORRISSEY, JESSICA (MA, MSW, LGSW)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:
Last Name:HELLE-MORRISSEY
Suffix:
Gender:F
Credentials:MA, MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 JAMES AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-1715
Mailing Address - Country:US
Mailing Address - Phone:612-867-9424
Mailing Address - Fax:
Practice Address - Street 1:5315 LYNDALE AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-1270
Practice Address - Country:US
Practice Address - Phone:612-867-9424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-14
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
MN207001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No374J00000XNursing Service Related ProvidersDoula