Provider Demographics
NPI:1285390799
Name:DOWLING, JEAN ELIZABETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:ELIZABETH
Last Name:DOWLING
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 1:13 WELLFLEET DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:MA
Mailing Address - Zip Code:02056-1811
Mailing Address - Country:US
Mailing Address - Phone:508-265-0491
Mailing Address - Fax:
Practice Address - Street 1:18 WASHINGTON ST FL 2
Practice Address - Street 2:
Practice Address - City:FOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:02035-1072
Practice Address - Country:US
Practice Address - Phone:508-901-4685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2204131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical