Provider Demographics
NPI:1861475030
Name:LOWE, KAREN L (LCSW DCSW QSAP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:LOWE
Suffix:
Gender:F
Credentials:LCSW DCSW QSAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 CHERRY ST
Mailing Address - Street 2:#2
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-2288
Mailing Address - Country:US
Mailing Address - Phone:423-968-2273
Mailing Address - Fax:423-990-2273
Practice Address - Street 1:620 CHERRY ST
Practice Address - Street 2:#2
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-2288
Practice Address - Country:US
Practice Address - Phone:423-968-2273
Practice Address - Fax:423-990-2273
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
5912341OtherAETNA
TN0152685OtherBCBS
VA032816OtherANTHEM
VA032816OtherANTHEM