Active NPI
Helen Corinne Fall Willeboordse, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1700084019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 078265-1
- Practice address
- 244 5TH Ave
9G
New York, NY 10001-7604 - Phone
- (917) 952-6862
- NPI assigned
- Jul 8, 2007
- 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 | 078265-1 | NY | Primary |
Addresses
Primary practice location
244 5TH Ave
9G
New York, NY 10001-7604
Mailing address
244 5TH Ave
9G
New York, NY 10001-7604
Phone (917) 952-6862
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 24, 2026 through Mar 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078265-1 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1700084019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 5TH AVE",
"address_2": "9G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017604",
"telephone_number": "917-952-6862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 5TH AVE",
"address_2": "9G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017604",
"telephone_number": "917-952-6862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEBOORDSE",
"first_name": "HELEN",
"middle_name": "CORINNE FALL",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-08",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "078265-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.