Healthcare Provider Details

I. General information

NPI: 1831853746
Provider Name (Legal Business Name): MICHELLE ALEXANDRA ROWLEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 06/07/2025
Certification Date: 06/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MILLER AVE # 129
MILL VALLEY CA
94941-1903
US

IV. Provider business mailing address

35 MILLER AVE # 129
MILL VALLEY CA
94941-1903
US

V. Phone/Fax

Practice location:
  • Phone: 415-250-2316
  • Fax:
Mailing address:
  • Phone: 415-250-2316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW104668
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: