Active NPI
Helen M Landrum, LCSW LISW CEAP
- Social Worker
- Rock Island, IL
National Provider Identifier
1215194253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149007314
- Practice address
- 2100 18TH Ave
Suite 6
Rock Island, IL 61201-3668 - Phone
- (309) 786-0492
- NPI assigned
- May 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 149007314 | IL | Primary |
Addresses
Primary practice location
2100 18TH Ave
Suite 6
Rock Island, IL 61201-3668
Mailing address
4455 East 56TH Street
Davenport, IA 52807
Phone (563) 386-4004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149007314 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1215194253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 EAST 56TH STREET",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "52807",
"telephone_number": "563-386-4004",
"fax_number": "563-386-4026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 18TH AVE",
"address_2": "SUITE 6",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612013668",
"telephone_number": "309-786-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRUM",
"first_name": "HELEN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW LISW CEAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149007314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.