Provider Demographics
NPI:1427178128
Name:HARRIS, HELENE E (LCSW-R)
Entity type:Individual
Prefix:
First Name:HELENE
Middle Name:E
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 STEVEN ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-3006
Mailing Address - Country:US
Mailing Address - Phone:516-822-7963
Mailing Address - Fax:718-522-1560
Practice Address - Street 1:333 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5803
Practice Address - Country:US
Practice Address - Phone:718-522-6011
Practice Address - Fax:718-522-1560
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024603R1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical