Provider Demographics
NPI:1629338215
Name:TOWNE, ANGELA MICHELLE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:MICHELLE
Last Name:TOWNE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:MICHELLE
Other - Last Name:TOWNE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, LLC
Mailing Address - Street 1:14840 ENCLAVE LAKES DR APT C3
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8813
Mailing Address - Country:US
Mailing Address - Phone:561-221-5696
Mailing Address - Fax:
Practice Address - Street 1:370 CAMINO GARDENS BLVD STE 213
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5818
Practice Address - Country:US
Practice Address - Phone:561-221-5696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 66851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical