Provider Demographics
NPI:1629194469
Name:TOWNSEND, KENYA N (LCSW)
Entity Type:Individual
Prefix:
First Name:KENYA
Middle Name:N
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KENYA
Other - Middle Name:N
Other - Last Name:TOWNSEND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:780 SUMMER STREET
Mailing Address - Street 2:SWCMHS FS DUBOIS CENTER
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901
Mailing Address - Country:US
Mailing Address - Phone:203-388-1592
Mailing Address - Fax:203-388-1647
Practice Address - Street 1:780 SUMMER ST
Practice Address - Street 2:SWCMHS FS DUBOIS CENTER
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-1089
Practice Address - Country:US
Practice Address - Phone:203-388-1592
Practice Address - Fax:203-388-1647
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0074461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical