Basic Information
Provider Information
NPI: 1609178284
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HELFFRICH
FirstName: JOANNE
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: LCSWR
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3 SCRIBO LANE
Address2:  
City: WAPPINGERS FALLS
State: NY
PostalCode: 12591
CountryCode: US
TelephoneNumber: 9147377338
FaxNumber: 9147371050
Practice Location
Address1: 1101 MAIN STREET
Address2: C/O WESTCHESTER JEWISH COMMUNITY SERVICES
City: PEEKSKILL
State: NY
PostalCode: 10566
CountryCode: US
TelephoneNumber: 9147377338
FaxNumber: 9147371050
Other Information
ProviderEnumerationDate: 12/02/2010
LastUpdateDate: 03/02/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X069795NYY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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