Provider Demographics
NPI:1477214989
Name:LOWE, CHANTEL (LSW)
Entity Type:Individual
Prefix:
First Name:CHANTEL
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:NIK
Other - Middle Name:
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSW
Mailing Address - Street 1:7 MCINTOSH CT
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1284
Mailing Address - Country:US
Mailing Address - Phone:740-466-7576
Mailing Address - Fax:
Practice Address - Street 1:18 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-2523
Practice Address - Country:US
Practice Address - Phone:740-772-6191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2107075104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker