Provider Demographics
NPI:1861511305
Name:LOWITT, JOAN MILES (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:MILES
Last Name:LOWITT
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 1:39 GREENWICH COURT
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11741-2848
Mailing Address - Country:US
Mailing Address - Phone:631-654-0395
Mailing Address - Fax:631-289-1094
Practice Address - Street 1:39 GREENWICH COURT
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-2848
Practice Address - Country:US
Practice Address - Phone:631-654-0395
Practice Address - Fax:631-289-1094
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045243-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical