Provider Demographics
NPI:1588686174
Name:DR HELEN RYMASZEWSKI PA
Entity type:Organization
Organization Name:DR HELEN RYMASZEWSKI PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:V
Authorized Official - Last Name:RYMASZEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DSW LCSW
Authorized Official - Phone:954-929-0859
Mailing Address - Street 1:2101 S OCEAN DR
Mailing Address - Street 2:STE #LP2703
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019
Mailing Address - Country:US
Mailing Address - Phone:954-929-0859
Mailing Address - Fax:954-989-8812
Practice Address - Street 1:9900 STIRLING RD
Practice Address - Street 2:SUITE 213
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8065
Practice Address - Country:US
Practice Address - Phone:954-929-0859
Practice Address - Fax:954-989-8812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW43441041C0700X
NYR03229411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ7804OtherBCBS FL
FLZ7804Medicare PIN
FLZ7804ZMedicare PIN
FLAJ740Medicare PIN