Provider Demographics
NPI:1417198623
Name:LOW, JEANIE SUSAN SIGRID (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JEANIE
Middle Name:SUSAN SIGRID
Last Name:LOW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 MEMORIAL DR
Mailing Address - Street 2:STE 218
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8008
Mailing Address - Country:US
Mailing Address - Phone:281-946-9567
Mailing Address - Fax:281-496-2108
Practice Address - Street 1:5900 MEMORIAL DR STE 218
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-8008
Practice Address - Country:US
Practice Address - Phone:281-946-9567
Practice Address - Fax:281-496-2108
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52298104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker