MEDICARE: MRS. ANNE LOWDON DALY 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	C-05214	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821125246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNE LOWDON DALY LCSW

Provider Business Mailing Address
First Line	:	2950 CAMINO CASTILLO
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-3886
Country	:	US
Telephone Number	:	575-649-8466
Fax Number	:

Provider Business Practice Location Address
First Line	:	1395 MISSOURI AVE
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-5327
Country	:	US
Telephone Number	:	575-522-5466
Fax Number	:

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

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	02/13/2019

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