MEDICARE: JESSICA LOWE LMSW

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	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker	6801120660	MI

General Provider Information

NPI Number	:	1932654415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LOWE LMSW

Provider Business Mailing Address
First Line	:	914 N EUCLID AVE STE A
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2467
Country	:	US
Telephone Number	:	989-778-1055
Fax Number	:

Provider Business Practice Location Address
First Line	:	914 N EUCLID AVE
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2467
Country	:	US
Telephone Number	:	989-778-1055
Fax Number	:	989-778-1055

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

Provider Enumeration Date	:	08/24/2016
Last Update Date	:	03/04/2026

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