Provider Demographics
NPI:1306430327
Name:DONNELLY, HELEN (MSW, LCSW, OSW-C)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:DONNELLY
Suffix:
Gender:F
Credentials:MSW, LCSW, OSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 N CLIFTON AVE APT 2F
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-7157
Mailing Address - Country:US
Mailing Address - Phone:412-559-4643
Mailing Address - Fax:
Practice Address - Street 1:3115 N CLIFTON AVE APT 2F
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-7157
Practice Address - Country:US
Practice Address - Phone:412-559-4643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490180831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical