Healthcare Provider Details

I. General information

NPI: 1033202965
Provider Name (Legal Business Name): HELEN HUFFINGTON M.S.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 WALNUT ST SUITE 1616
PHILADELPHIA PA
19103-5313
US

IV. Provider business mailing address

6200 WISSAHICKON AVE
PHILADELPHIA PA
19144-3721
US

V. Phone/Fax

Practice location:
  • Phone: 215-803-4153
  • Fax: 215-842-9678
Mailing address:
  • Phone: 215-803-4153
  • Fax: 215-842-9678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW012173
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: