Provider Demographics
NPI:1609279769
Name:ROWLAND, JANAE (LMSW)
Entity Type:Individual
Prefix:
First Name:JANAE
Middle Name:
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 RUSSELL RD
Mailing Address - Street 2:
Mailing Address - City:HURLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12443-5516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:305 HURLEY AVE
Practice Address - Street 2:2L
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-6854
Practice Address - Country:US
Practice Address - Phone:917-704-5970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-03
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC209221041C0700X
NY0896841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical