Provider Demographics
NPI:1881751402
Name:LOWE, KAREN A (MSW LICSW)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:LOWE
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 FOREST PARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:NORTH BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-1333
Mailing Address - Country:US
Mailing Address - Phone:978-362-3337
Mailing Address - Fax:978-671-9330
Practice Address - Street 1:229 BILLERICA ROAD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824
Practice Address - Country:US
Practice Address - Phone:978-362-3337
Practice Address - Fax:978-671-9330
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA110877104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1852086Medicaid
MA1852086Medicaid