Kristin Meredith Helm, LISW

Individual provider Active NPI Clinical Social Worker · Fairfield, IA

NPI 1962655720 · NPPES record last updated Mar 24, 2021

Key facts

NPI
1962655720
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
007213 (IA)
Practice address
402 N B St Ste 104
Fairfield, IA 52556-2971
Phone
(641) 454-5054
NPI assigned
Oct 24, 2008
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

500 N 3Rd St
Suite 110
Fairfield, IA 52556-2482
Phone (641) 454-5054

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20121012000274 IA Practitioner - Clinical Social Worker 1658520382 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Counseling LLC Clinical Current
since Mar 13, 2020
Accepting new patients

Locations

402 N B St
Ste 104
Fairfield, IA 52556
Phone (641) 454-5054

500 N 3rd St
Ste 110
Fairfield, IA 52556
Phone (641) 454-5054

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 007213 IA
Clinical Social Worker 1041C0700X 007213 IA Yes

Addresses

Primary practice location

402 N B St Ste 104
Fairfield, IA 52556-2971

Mailing address

402 N B St Ste 104
Fairfield, IA 52556-2971
Phone (641) 454-5054

Other identifiers

IdentifierTypeStateIssuer
1023232824MedicaidIA

Other providers in Fairfield, IA

All providers in Fairfield, IA · Clinical Social Worker in Iowa

Sources for this page

Verify at the official NPI Registry.