Provider Demographics
NPI:1376544171
Name:TOWNLEY, MARTHA RG (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:RG
Last Name:TOWNLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PLEASANT STREET
Mailing Address - Street 2:
Mailing Address - City:SOUTH NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760
Mailing Address - Country:US
Mailing Address - Phone:508-655-6551
Mailing Address - Fax:508-651-1128
Practice Address - Street 1:2 PLEASANT STREET
Practice Address - Street 2:
Practice Address - City:SOUTH NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760
Practice Address - Country:US
Practice Address - Phone:508-655-6551
Practice Address - Fax:508-651-1128
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1008781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical