Provider Demographics
NPI:1750493110
Name:LOWANS-WELLS, LORIE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:LORIE
Middle Name:
Last Name:LOWANS-WELLS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 71576
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27722-1576
Mailing Address - Country:US
Mailing Address - Phone:919-451-0736
Mailing Address - Fax:
Practice Address - Street 1:330 W WEAVER ST
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2022
Practice Address - Country:US
Practice Address - Phone:919-451-0736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0045021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002744Medicaid
NC1359ROtherNC HEALTH CHOICE
NC1359ROtherBLUE CROSS BLUE SHIELD
NCE3235-A9484OtherMEDCOST