Healthcare Provider Details

I. General information

NPI: 1467363820
Provider Name (Legal Business Name): CHEYENNE ELIZABETH LOWE I LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 NEW ST
NAUGATUCK CT
06770-2741
US

IV. Provider business mailing address

69 NEW ST
NAUGATUCK CT
06770-2741
US

V. Phone/Fax

Practice location:
  • Phone: 203-725-5429
  • Fax:
Mailing address:
  • Phone: 203-725-5429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12532
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: