Provider Demographics
NPI:1437495884
Name:CLOWES, JOAN M (LICSW)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:M
Last Name:CLOWES
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:PO BOX 135
Mailing Address - Street 2:33 CRANBERRY LANE
Mailing Address - City:EASTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02642-0135
Mailing Address - Country:US
Mailing Address - Phone:781-929-9323
Mailing Address - Fax:
Practice Address - Street 1:288 WEST ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-1247
Practice Address - Country:US
Practice Address - Phone:781-929-9323
Practice Address - Fax:508-422-0261
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-12
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1193041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical