Provider Demographics
NPI:1609194869
Name:DOWNS, JENNIFER NUMKENA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:NUMKENA
Last Name:DOWNS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 FISHERS LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1750
Mailing Address - Country:US
Mailing Address - Phone:316-530-7865
Mailing Address - Fax:
Practice Address - Street 1:5600 FISHERS LN
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1750
Practice Address - Country:US
Practice Address - Phone:316-530-7865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0072081041C0700X
NCP0049151041C0700X
MO20170083601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical