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NPI Code Detail

MEDICARE: JONATHAN LOWERY LCSW-A, MSW, BSW

MEDICARE:   JONATHAN  LOWERY  LCSW-A, MSW, BSW
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
1171M00000XCase Manager/Care CoordinatorP009782NC
21041C0700XClinical Social WorkerPO15914NC

General Provider Information

NPI Number : 1598141764
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN LOWERY LCSW-A, MSW, BSW
Provider Business Mailing Address
First Line : 6 BEREA CT
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-6561
Country : US
Telephone Number : 252-258-7712
Fax Number :
Provider Business Practice Location Address
First Line : 3229 PLEASANT GARDEN RD APT 1E
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-4627
Country : US
Telephone Number : 252-258-7712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2015
Last Update Date : 05/26/2021

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Directions to “ JONATHAN LOWERY LCSW-A, MSW, BSW” Practice Location

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