Provider Demographics
NPI:1578286274
Name:TOWNSEND, JANE O'HAGAN (LICSW)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:O'HAGAN
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:JANE
Other - Middle Name:NICOLE
Other - Last Name:O'HAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGSW
Mailing Address - Street 1:10645 WHITEROCK CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1260
Mailing Address - Country:US
Mailing Address - Phone:202-930-0842
Mailing Address - Fax:
Practice Address - Street 1:10645 WHITEROCK CT
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1260
Practice Address - Country:US
Practice Address - Phone:202-930-0842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500829251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical