Provider Demographics
NPI:1578969614
Name:LOWENBURG, MEGAN CAPONE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:CAPONE
Last Name:LOWENBURG
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 1:2051 8TH ST
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-4001
Mailing Address - Country:US
Mailing Address - Phone:504-368-1944
Mailing Address - Fax:504-368-9784
Practice Address - Street 1:2051 8TH ST
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-4001
Practice Address - Country:US
Practice Address - Phone:504-368-1944
Practice Address - Fax:504-368-9784
Is Sole Proprietor?:No
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA107731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical