MEDICARE: DR. ROBERT WILLIAM TOWNSEND PH.D., LPCC, LMSW

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	104100000X	Social Worker	M-0450	NM
2	101YP2500X	Professional Counselor	CCMH2830	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538265186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT WILLIAM TOWNSEND PH.D., LPCC, LMSW

Provider Business Mailing Address
First Line	:	1225 LANDMAN DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-6066
Country	:	US
Telephone Number	:	505-275-4971
Fax Number	:	505-299-6340

Provider Business Practice Location Address
First Line	:	4273 MONTGOMERY BLVD NE STE 240-EAST
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-6748
Country	:	US
Telephone Number	:	505-275-4971
Fax Number	:	505-299-6340

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	11/02/2024

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