MEDICARE: ANDRIAS LOWE LCSW AND SUPERVISOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C6488	MS
2	1041C0700X	Clinical Social Worker	37446	TX

General Provider Information

NPI Number	:	1184065542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRIAS LOWE LCSW AND SUPERVISOR

Provider Business Mailing Address
First Line	:	12712 W LAKE HOUSTON PKWY STE B101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6467
Country	:	US
Telephone Number	:	346-600-4911
Fax Number	:

Provider Business Practice Location Address
First Line	:	12712 W LAKE HOUSTON PKWY STE B101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6467
Country	:	US
Telephone Number	:	346-600-4911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2013
Last Update Date	:	05/30/2025

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