Provider Demographics
NPI:1518518729
Name:LOWE, VANESSA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:
Last Name:LOWE
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 1:1559 NEW GARDEN RD APT 1D
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-1564
Mailing Address - Country:US
Mailing Address - Phone:336-508-2805
Mailing Address - Fax:
Practice Address - Street 1:413 MOUNT CROSS RD STE 106
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-4089
Practice Address - Country:US
Practice Address - Phone:434-791-3950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-28
Last Update Date:2019-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040112661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical