Provider Demographics
NPI:1619919172
Name:TOWNSHEND, ANGELA L (LCSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:L
Last Name:TOWNSHEND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BALLARD COVE RD
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-8110
Mailing Address - Country:US
Mailing Address - Phone:828-665-3908
Mailing Address - Fax:828-225-4822
Practice Address - Street 1:370 N LOUISIANA AVE STE A1
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3648
Practice Address - Country:US
Practice Address - Phone:828-225-4980
Practice Address - Fax:828-225-4822
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0023421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC136F2OtherBCBS
NC6002970Medicaid
NC2878306Medicare ID - Type UnspecifiedLCSW GRP # 2335660A