Provider Demographics
NPI:1972774297
Name:TOWNSEND, MICHELLE ALISON (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ALISON
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 1:243 WHISPERING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-8464
Mailing Address - Country:US
Mailing Address - Phone:718-775-6272
Mailing Address - Fax:
Practice Address - Street 1:7164 ROUTE 209
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-7108
Practice Address - Country:US
Practice Address - Phone:570-234-0403
Practice Address - Fax:570-234-3763
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW123163104100000X
PACW0171851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker