Provider Demographics
NPI:1619905825
Name:TOWLEY, JON (MSW)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:
Last Name:TOWLEY
Suffix:
Gender:M
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:PO BOX 1377
Mailing Address - Street 2:UNIQUE PERSPECTIVES
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50704-1377
Mailing Address - Country:US
Mailing Address - Phone:319-939-7580
Mailing Address - Fax:
Practice Address - Street 1:36 W PARK LN
Practice Address - Street 2:UNIQUE PERSPECTIVES
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-5178
Practice Address - Country:US
Practice Address - Phone:319-939-7580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA607104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI0479Medicare PIN
IAS18522Medicare UPIN