Helen R Woodrum, MSW, QMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015750 Issued in IL

Practice address

403 E 1St St
Dixon, IL 61021

Phone

(815) 285-5638

Fax

(815) 285-5850

NPI assigned

May 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Helen Woodrum LCSW PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dixon, IL
  • NPI 1740958297
  Medicare reassignment NPD Authorized official
• Sinnissippi Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochelle, IL
  • NPI 1407143837
  NPD (past)

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1881986636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E 1ST ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213116",
            "telephone_number": "815-285-5638",
            "fax_number": "815-285-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E 1ST ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "61021",
            "telephone_number": "815-285-5638",
            "fax_number": "815-285-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Il Route 2",
            "address_purpose": "LOCATION",
            "city": "Dixon",
            "state": "IL",
            "postal_code": "610219118",
            "country_code": "US",
            "telephone_number": "815-284-8726 x295",
            "fax_number": "815-284-6598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODRUM",
        "first_name": "HELEN",
        "middle_name": "R",
        "credential": "MSW, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "F400249467",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisa Wolf, LCSW
• Kathleen Diane Wolf, CADC
• Lionel B Wong, M.D.
• Ashley Wood
• Bridgette Ann Woodall, NP-C
• Jeff Aaron Woods
• Workforce Wellness and Compliance Solutions LLC
• Andrea N Wright, M.S., QMHP
• Kaitlyn Wright, RBT
• Steven Yeschek

• Clinical Social Worker in Dixon, IL
• Providers in Dixon, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.