Provider Demographics
NPI:1912380635
Name:ROWLAND, DAVID (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ROWLAND
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 VILLAGE DR
Mailing Address - Street 2:GARDEN LEVEL 30
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-4979
Mailing Address - Country:US
Mailing Address - Phone:816-424-6530
Mailing Address - Fax:
Practice Address - Street 1:3500 VILLAGE DR
Practice Address - Street 2:GARDEN LEVEL 30
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-4979
Practice Address - Country:US
Practice Address - Phone:816-424-6530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20170395931041C0700X
MO2015021261101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health