Jaclyn Elizabeth Helzerman
Individual provider Active NPI Clinical Social Worker · Newport, MI
NPI 1003686460 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1003686460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801093358 (MI)
- Practice address
- 9528 Olde Hickory LN
Newport, MI 48166-9297 - Phone
- (734) 644-0101
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801093358 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801093358 | MI | Yes |
Addresses
Primary practice location
9528 Olde Hickory LN
Newport, MI 48166-9297
Mailing address
9528 Olde Hickory LN
Newport, MI 48166-9297
Phone (734) 644-0101
Other names
- Jaclyn Elizabeth Logan
Other providers in Newport, MI
- Sara Gdowski
- Patricia Laura Hanks
- Haworth and Associates, Inc
- Anna Hehl-Bisson
- Heliopolis Investment Group LLC
- Alex Hoorn
- Kristina Marie House
- Human Services Solutions LLC
- Tina M Hurst
- Kyle Michael Imes
All providers in Newport, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.