Active NPI
Helen Woodrum LCSW PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dixon, IL
National Provider Identifier
1740958297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- HELEN WOODRUM LCSW PLLC
- Practice address
- 114 E Everett St Ste 208
Dixon, IL 61021-2140 - Phone
- (815) 994-6400
- NPI assigned
- Aug 31, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Helen R Woodrum, LCSW
- Title
- Owner, Therapist
- Phone
- (815) 277-1049
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
114 E Everett St Ste 208
Dixon, IL 61021-2140
Mailing address
114 E Everett St Ste 208
Dixon, IL 61021-2140
Phone (815) 994-6400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149015750 | Other | IL | IL DEPT. FINANCIAL AND PROF. REGULATION |
| 149015750 | Other | IL | ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION- LCSW |
| 12588016 | Other | IL | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://helen-woodrum.clientsecure.me/ | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
114 E Everett St
Ste 208
Dixon, IL 61021
Phone (815) 277-1049
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Dixon, IL
- NPI 1881986636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630368000000",
"number": "1740958297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E EVERETT ST STE 208",
"city": "DIXON",
"state": "IL",
"postal_code": "610212140",
"telephone_number": "815-994-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E EVERETT ST STE 208",
"city": "DIXON",
"state": "IL",
"postal_code": "610212140",
"telephone_number": "815-994-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELEN WOODRUM LCSW PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A",
"authorized_official_last_name": "WOODRUM",
"authorized_official_first_name": "HELEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER, THERAPIST",
"authorized_official_telephone_number": "815-277-1049",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL DEPT. FINANCIAL AND PROF. REGULATION",
"identifier": "149015750",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION- LCSW",
"identifier": "149015750",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12588016",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://helen-woodrum.clientsecure.me/",
"affiliation": "N",
"endpointDescription": "Business Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "114 E Everett St Ste 208",
"city": "Dixon",
"state": "IL",
"country_code": "US",
"postal_code": "610212140",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.