MEDICARE: ANGELA ROWAN LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LICSW 111871	MA

General Provider Information

NPI Number	:	1609887348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA ROWAN LICSW

Provider Business Mailing Address
First Line	:	PO BOX 873
Second Line	:
City	:	GREENFIELD
State	:	MA
Zip	:	01302-0873
Country	:	US
Telephone Number	:	413-773-5420
Fax Number	:	413-773-0477

Provider Business Practice Location Address
First Line	:	238 MAIN ST
Second Line	:	4TH FLOOR
City	:	GREENFIELD
State	:	MA
Zip	:	01301-3243
Country	:	US
Telephone Number	:	413-774-6252
Fax Number	:	413-773-0477

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	07/08/2007

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Directions to “ ANGELA ROWAN LICSW” Practice Location

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