MEDICARE: DARONCIA M LOWE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149024946	IL

General Provider Information

NPI Number	:	1306553359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARONCIA M LOWE LCSW

Provider Business Mailing Address
First Line	:	29373 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1293
Country	:	US
Telephone Number	:	847-390-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	913 W WELLINGTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6709
Country	:	US
Telephone Number	:	855-908-7911
Fax Number	:	872-843-9000

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2022
Last Update Date	:	04/08/2026

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