Provider Demographics
NPI:1609232586
Name:LOWE, SAMUEL FRANKLIN (LSW)
Entity Type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:FRANKLIN
Last Name:LOWE
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17074-8912
Mailing Address - Country:US
Mailing Address - Phone:717-603-0342
Mailing Address - Fax:
Practice Address - Street 1:28 W SHORTCUT RD
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:PA
Practice Address - Zip Code:17074-8721
Practice Address - Country:US
Practice Address - Phone:717-567-3524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-08
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0196881041C0700X
PASW125187104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker