Provider Demographics
NPI:1952598286
Name:ADRIENNE, HELEN (MSW)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:ADRIENNE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 EAST 64TH STREET
Mailing Address - Street 2:SUITE E1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-758-0125
Mailing Address - Fax:212-888-2558
Practice Address - Street 1:420 EAST 64TH STREET
Practice Address - Street 2:SUITE E1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-758-0125
Practice Address - Fax:212-888-2558
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0222511104100000X
NJ44SC00399400104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPR0222511OtherDEPT OF LICENSING
NJ44SC00399400OtherDEPT OF LICENSING