Healthcare Provider Details

I. General information

NPI: 1033038716
Provider Name (Legal Business Name): SHAUNCELEY RAINE LOWERY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W BOYCE RD
ROWLAND NC
28383-8699
US

IV. Provider business mailing address

701 W BOYCE RD
RAYNHAM NC
28383-8699
US

V. Phone/Fax

Practice location:
  • Phone: 910-736-1870
  • Fax:
Mailing address:
  • Phone: 910-736-1870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: