Provider Demographics
NPI:1578195038
Name:LOWMAN-CRAIG, DARCY AMANDA (CSW)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:AMANDA
Last Name:LOWMAN-CRAIG
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 40TH AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVER CREEK
Mailing Address - State:MN
Mailing Address - Zip Code:56116-4050
Mailing Address - Country:US
Mailing Address - Phone:605-370-1079
Mailing Address - Fax:
Practice Address - Street 1:2501 W 22ND ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1305
Practice Address - Country:US
Practice Address - Phone:605-336-3230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5049104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker