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NPI Code Detail

MEDICARE: MRS. LESIA DANELL ROWE LCSW, PHD

MEDICARE: MRS. LESIA DANELL ROWE LCSW, PHD
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
1104100000XSocial Worker34003413AIN
2103T00000XPsychologist200242770AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11134206535OTHERINGROUP NPI

General Provider Information

NPI Number : 1336431014
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LESIA DANELL ROWE LCSW, PHD
Provider Business Mailing Address
First Line : 7300 E INDIANA ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-7448
Country : US
Telephone Number : 812-401-8008
Fax Number : 812-401-8201
Provider Business Practice Location Address
First Line : 7300 E INDIANA ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-7448
Country : US
Telephone Number : 812-401-8008
Fax Number : 812-401-8201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2011
Last Update Date : 01/24/2023

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