Provider Demographics
NPI:1003927187
Name:NANCY LOWRIE & ASSOCIATES LLC
Entity Type:Organization
Organization Name:NANCY LOWRIE & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:C
Authorized Official - Last Name:LOWRIE
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S, SAP
Authorized Official - Phone:440-846-0862
Mailing Address - Street 1:11565 PEARL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-3356
Mailing Address - Country:US
Mailing Address - Phone:440-846-0862
Mailing Address - Fax:440-846-0890
Practice Address - Street 1:11565 PEARL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-3356
Practice Address - Country:US
Practice Address - Phone:440-846-0862
Practice Address - Fax:440-846-0890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.00081541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2830066Medicaid
OH9336981Medicare ID - Type UnspecifiedMEDICARE GROUP #
OH2830066Medicare PIN
OHP40240Medicare UPIN
SW23983Medicare PIN
OHLOSW23983Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
P40240Medicare UPIN