Healthcare Provider Details

I. General information

NPI: 1336245216
Provider Name (Legal Business Name): NANCY ANN ROWLEY MSW LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 03/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 SANDWICH RD
WAREHAM MA
02571-1637
US

IV. Provider business mailing address

57 BAY POINTE DRIVE
BUZZARDS BAY MA
02532
US

V. Phone/Fax

Practice location:
  • Phone: 508-295-3600
  • Fax:
Mailing address:
  • Phone: 508-759-9743
  • Fax: 508-999-6607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number101863
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: