Healthcare Provider Details

I. General information

NPI: 1750493110
Provider Name (Legal Business Name): LORIE LOWANS-WELLS MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 MILTON RD
DURHAM NC
27722-0804
US

IV. Provider business mailing address

PO BOX 71576
DURHAM NC
27722-1576
US

V. Phone/Fax

Practice location:
  • Phone: 919-451-0736
  • Fax: 919-930-8982
Mailing address:
  • Phone: 919-451-0736
  • Fax: 919-930-8982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC004502
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: