Healthcare Provider Details

I. General information

NPI: 1932654415
Provider Name (Legal Business Name): JESSICA ANNE LOWE MSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2016
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 N EUCLID AVE
BAY CITY MI
48706-2467
US

IV. Provider business mailing address

914 N EUCLID AVE STE A
BAY CITY MI
48706-2467
US

V. Phone/Fax

Practice location:
  • Phone: 989-778-1055
  • Fax: 989-778-1055
Mailing address:
  • Phone: 989-778-1055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801120660
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: