MEDICARE: MS. NAOMI R LOWN LICSW

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	104654	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	719792	OTHER	MA	TUFTS HEALTH PLAN
2	270402000	OTHER	MA	MAGELLAN HEALTH SERVICES
3	P02886	OTHER	MA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1356447098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NAOMI R LOWN LICSW

Provider Business Mailing Address
First Line	:	94 PLEASANT ST
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02476-6535
Country	:	US
Telephone Number	:	781-646-4080
Fax Number	:

Provider Business Practice Location Address
First Line	:	94 PLEASANT ST
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02476-6535
Country	:	US
Telephone Number	:	781-646-4080
Fax Number	:

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

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	07/16/2008

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