Provider Demographics
NPI:1336530229
Name:SOWERS, JENNIFER N (LCSW-C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:N
Last Name:SOWERS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4304 ELMWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-2728
Mailing Address - Country:US
Mailing Address - Phone:301-461-4009
Mailing Address - Fax:
Practice Address - Street 1:4304 ELMWOOD RD
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-2728
Practice Address - Country:US
Practice Address - Phone:301-461-4009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-12
Last Update Date:2021-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099273191041C0700X
MD228591041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical