Provider Demographics
NPI:1093033854
Name:TOWNE, JESSICA ALLEN (LICSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ALLEN
Last Name:TOWNE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LILLIANS WAY
Mailing Address - Street 2:
Mailing Address - City:ERVING
Mailing Address - State:MA
Mailing Address - Zip Code:01344-4422
Mailing Address - Country:US
Mailing Address - Phone:413-218-6217
Mailing Address - Fax:
Practice Address - Street 1:58 CHURCH ST
Practice Address - Street 2:
Practice Address - City:BERNARDSTON
Practice Address - State:MA
Practice Address - Zip Code:01337-8500
Practice Address - Country:US
Practice Address - Phone:413-218-6217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2158741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA116873OtherCOMMONWEALTH OF MASSACHUSETTS