Provider Demographics
NPI:1811286057
Name:CROOT, HELEN E (LMSW)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:E
Last Name:CROOT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 HERITAGE OVERLOOK
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-6126
Mailing Address - Country:US
Mailing Address - Phone:404-409-5909
Mailing Address - Fax:
Practice Address - Street 1:320 HERITAGE OVERLOOK
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-6126
Practice Address - Country:US
Practice Address - Phone:404-409-5909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW0043481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical