Provider Demographics
NPI:1932219037
Name:MCDONALD, HELLEN G (LCSW MSW)
Entity Type:Individual
Prefix:MRS
First Name:HELLEN
Middle Name:G
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:LCSW MSW
Other - Prefix:
Other - First Name:HELLEN
Other - Middle Name:
Other - Last Name:GEROLYMATOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:44 E MAIN ST
Mailing Address - Street 2:#505
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61820-3636
Mailing Address - Country:US
Mailing Address - Phone:217-378-8575
Mailing Address - Fax:217-378-8530
Practice Address - Street 1:44 E MAIN ST
Practice Address - Street 2:#505
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61820-3636
Practice Address - Country:US
Practice Address - Phone:217-378-8575
Practice Address - Fax:217-378-8530
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490098011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical