Provider Demographics
NPI:1710605621
Name:TOWNSEND, SHELONDA LATISHA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHELONDA
Middle Name:LATISHA
Last Name:TOWNSEND
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 1:609 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:POCOMOKE CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21851-1141
Mailing Address - Country:US
Mailing Address - Phone:443-614-2445
Mailing Address - Fax:
Practice Address - Street 1:601 HOMEWOOD DR
Practice Address - Street 2:
Practice Address - City:POCOMOKE CITY
Practice Address - State:MD
Practice Address - Zip Code:21851-9532
Practice Address - Country:US
Practice Address - Phone:144-361-4244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-16
Last Update Date:2023-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040142371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical