Provider Demographics
NPI:1861481236
Name:HUYPEN, MADELINE E (LCSW)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:E
Last Name:HUYPEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:E
Other - Last Name:INFANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 REEDSDALE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15233-2109
Mailing Address - Country:US
Mailing Address - Phone:412-323-8026
Mailing Address - Fax:412-323-4507
Practice Address - Street 1:330 SOUTH 9TH STREET
Practice Address - Street 2:SOUTH 9TH STREET CENTER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203
Practice Address - Country:US
Practice Address - Phone:412-488-4040
Practice Address - Fax:412-488-4932
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW014673104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA091845Medicare ID - Type Unspecified
Q45971Medicare UPIN