MEDICARE: DIANE MARIE COX-LOWRY MSW, LCSW

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	8128-123	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518975085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE MARIE COX-LOWRY MSW, LCSW

Provider Business Mailing Address
First Line	:	4402 S 68TH ST
Second Line	:	SUITE 100
City	:	GREENFIELD
State	:	WI
Zip	:	53220-3479
Country	:	US
Telephone Number	:	262-227-7266
Fax Number	:	414-321-0552

Provider Business Practice Location Address
First Line	:	2363 S 102ND ST
Second Line	:	SUITE 203
City	:	WEST ALLIS
State	:	WI
Zip	:	53227-2143
Country	:	US
Telephone Number	:	262-375-1116
Fax Number	:	262-375-1071

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	06/15/2023

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