MEDICARE: LOWKEY AND SERENE LLC

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

General Provider Information

NPI Number	:	1275314015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOWKEY AND SERENE LLC

Provider Business Mailing Address
First Line	:	555 CAMPFIRE RD SE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87124-2304
Country	:	US
Telephone Number	:	505-980-0630
Fax Number	:

Provider Business Practice Location Address
First Line	:	5640 VENICE AVE NE STE L
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87113-2350
Country	:	US
Telephone Number	:	505-226-1920
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VICKI LIEBERSPIESS
Credential	:	LCSW
Telephone Number	:	505-226-1926

Provider Enumeration Date	:	10/09/2023
Last Update Date	:	12/07/2023

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Directions to “LOWKEY AND SERENE LLC ” Practice Location

Language	Start Address	Practice Location

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