Provider Demographics
NPI:1588206858
Name:ROWE, MALORIE (LCSWA)
Entity Type:Individual
Prefix:
First Name:MALORIE
Middle Name:
Last Name:ROWE
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1123 MATTEO DR APT 306
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-2109
Mailing Address - Country:US
Mailing Address - Phone:252-671-2066
Mailing Address - Fax:
Practice Address - Street 1:1123 MATTEO DR APT 306
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-2109
Practice Address - Country:US
Practice Address - Phone:252-671-2066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0139971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical