Healthcare Provider Details

I. General information

NPI: 1295831063
Provider Name (Legal Business Name): BARBARA J TOWNSEND L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2208 EXECUTIVE DR SUITE A
HAMPTON VA
23666-6603
US

IV. Provider business mailing address

27 DINWIDDIE PL
NEWPORT NEWS VA
23608-2001
US

V. Phone/Fax

Practice location:
  • Phone: 757-826-7516
  • Fax:
Mailing address:
  • Phone: 757-223-9647
  • Fax: 757-223-9647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904001213
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: