MEDICARE: MS. VANESSA 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	0904011266	VA
2	1041C0700X	Clinical Social Worker	C013704	NC

General Provider Information

NPI Number	:	1518518729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VANESSA LOWE LCSW

Provider Business Mailing Address
First Line	:	5 OAK BRANCH DR STE H
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-2157
Country	:	US
Telephone Number	:	336-288-9190
Fax Number	:	336-450-4318

Provider Business Practice Location Address
First Line	:	5 OAK BRANCH DR STE H
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-2157
Country	:	US
Telephone Number	:	336-288-9190
Fax Number	:	336-450-4318

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

Provider Enumeration Date	:	09/28/2019
Last Update Date	:	08/26/2025

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