Provider Demographics
NPI:1265411128
Name:LOWRIE, NANCY CAROL (LISW-S)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:CAROL
Last Name:LOWRIE
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11565 PEARL RD
Mailing Address - Street 2:STE 200
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-3356
Mailing Address - Country:US
Mailing Address - Phone:440-846-0862
Mailing Address - Fax:440-846-0890
Practice Address - Street 1:18226 GLENCREEK LN
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-3541
Practice Address - Country:US
Practice Address - Phone:440-238-6224
Practice Address - Fax:440-846-0890
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.00081541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHI.0008154OtherLISW LICENSE NUMBER
OHP40240Medicare UPIN
OHI.0008154OtherLISW LICENSE NUMBER