Healthcare Provider Details

I. General information

NPI: 1801171079
Provider Name (Legal Business Name): DEDE R LOWE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

379 MOCCASIN LN
BISMARCK AR
71929-6434
US

IV. Provider business mailing address

9770 HIGHWAY 165
NORTH LITTLE ROCK AR
72117-9737
US

V. Phone/Fax

Practice location:
  • Phone: 501-580-7678
  • Fax:
Mailing address:
  • Phone: 501-580-7678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6605-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: