Provider Demographics
NPI:1720297351
Name:ROWEN, AMY (LICSW)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:ROWEN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 NO. MAIN ST
Mailing Address - Street 2:BUILDING 9A
Mailing Address - City:LEEDS
Mailing Address - State:MA
Mailing Address - Zip Code:01053
Mailing Address - Country:US
Mailing Address - Phone:413-584-4040
Mailing Address - Fax:413-582-3071
Practice Address - Street 1:421 NO. MAIN ST
Practice Address - Street 2:BUILDING 9A
Practice Address - City:LEEDS
Practice Address - State:MA
Practice Address - Zip Code:01053
Practice Address - Country:US
Practice Address - Phone:413-584-4040
Practice Address - Fax:413-582-3071
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL053571001041C0700X
MA1184121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical