Individual provider Active NPI

Theresa Helgeson, LCSW

  • Clinical Social Worker
  • Genoa, WI
National Provider Identifier
1104348465
Registry record updated Jun 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8968 Issued in WI
Practice address
E968 Gilardi LN
Genoa, WI 54632-6800
Phone
(608) 386-5331
NPI assigned
Jul 8, 2017
Last updated
Jun 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 130453-121 WI
Clinical Social Worker 1041C0700X 108650 IA
Clinical Social Worker 1041C0700X 8968 WI Primary

Addresses

Primary practice location

E968 Gilardi LN
Genoa, WI 54632-6800

Mailing address

E968 Gilardi LN
Genoa, WI 54632-6800
Phone (608) 668-2332

Other practice location 1

E968 Gilardi Ln
Genoa, WI 54632-6800
Phone (608) 386-5331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181128001816 WI Practitioner - Clinical Social Worker 6800130089 Reassigns benefits to 1 organization
Practice locations: Genoa, WI
I20250714002187 IA Practitioner - Clinical Social Worker 6800130089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

505 5TH Ave
Suite 729
Des Moines, IA 50309-2318
Phone (800) 997-6196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
130453-121WIMDSocial Worker
108650IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C CurrentSince Nov 12, 2023 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

505 5th Ave
Ste 729
Des Moines, IA 50309
Phone (305) 596-9040

801 Adlai Stevenson Dr
Springfield, IL 62703
Phone 4153603833 ext. 03833

8040 Excelsior Dr
Ste 400
Madison, WI 53717
Phone (415) 360-3083

Interoperability endpoints

  • Direct secure messaging: theresa.helgeson.1@30520.direct.athenahealth.com
  • Direct secure messaging: theresahelgeson@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1104348465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E968 GILARDI LN",
            "city": "GENOA",
            "state": "WI",
            "postal_code": "546326800",
            "telephone_number": "608-668-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E968 GILARDI LN",
            "city": "GENOA",
            "state": "WI",
            "postal_code": "546326800",
            "telephone_number": "608-386-5331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "E968 Gilardi Ln",
            "address_purpose": "LOCATION",
            "city": "Genoa",
            "state": "WI",
            "postal_code": "546326800",
            "country_code": "US",
            "telephone_number": "608-386-5331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELGESON",
        "first_name": "THERESA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-08",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "130453-121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "108650",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Genoa, WI

Sources for this page

Verify at the official NPI Registry.