Individual provider Active NPI

Lara Marie-Daverman Helmus, LMSW, ACSW

  • Clinical Social Worker
  • Holland, MI
National Provider Identifier
1871625350
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088594 Issued in MI
Practice address
607 Heritage CT
Holland, MI 49423-5481
Phone
(616) 396-6285
Fax
(616) 355-7704
NPI assigned
Mar 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6801088594 MI
Social Worker 104100000X 6801088594 MI
Clinical Social Worker 1041C0700X 6801088594 MI Primary

Addresses

Primary practice location

607 Heritage CT
Holland, MI 49423-5481

Mailing address

607 Heritage CT
Holland, MI 49423-5481
Phone (616) 396-6285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000450 MI Practitioner - Clinical Social Worker 9032266374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encourage Counseling LLCGroup PAC ID 4688721913, 5 clinicians

Practice addresses (Care Compare)

607 Heritage CT
Suite a
Holland, MI 49423-5443
Phone (616) 396-6285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801088594MIMDClinical Social Worker

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1871625350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 HERITAGE CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235481",
            "telephone_number": "616-396-6285",
            "fax_number": "616-355-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 HERITAGE CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235481",
            "telephone_number": "616-396-6285",
            "fax_number": "616-355-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMUS",
        "first_name": "LARA",
        "middle_name": "MARIE-DAVERMAN",
        "name_prefix": "Ms.",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-11",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6801088594",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801088594",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.