Active NPI
Lisa M Helm, LISW-S
- Clinical Social Worker
- Dayton, OH
National Provider Identifier
1306214010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0900089-SUPV
- Practice address
- 713 W Grand Ave
Dayton, OH 45406-5327 - Phone
- (937) 719-0255
- NPI assigned
- Sep 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.0900089-SUPV | OH | Primary |
Addresses
Primary practice location
713 W Grand Ave
Dayton, OH 45406-5327
Mailing address
332 Southbridge LN
Dayton, OH 45459-2928
Phone (937) 654-1489
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 |
|---|---|---|---|
| I.0900089-SUPV | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1306214010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 SOUTHBRIDGE LN",
"city": "DAYTON",
"state": "OH",
"postal_code": "454592928",
"telephone_number": "937-654-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 W GRAND AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454065327",
"telephone_number": "937-719-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELM",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-11",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0900089-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.