Etasha Yoruba Lowery

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018557 Issued in NC

Practice address

249 E NC Highway 54 Ste 320
Durham, NC 27713-2490

Phone

(919) 907-3334

Fax

(919) 907-3335

NPI assigned

Apr 6, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1144915125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 BALLSTON PL",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457478",
            "telephone_number": "718-710-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E NC HIGHWAY 54 STE 320",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132490",
            "telephone_number": "919-907-3334",
            "fax_number": "919-907-3335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Ballston Pl",
            "address_purpose": "LOCATION",
            "city": "Knightdale",
            "state": "NC",
            "postal_code": "275457478",
            "country_code": "US",
            "telephone_number": "718-710-9896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "ETASHA",
        "middle_name": "YORUBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yevonnie Alvina Lowe-Ingram, LCSW
• Melanie Maynor Lowe, CRNA
• Nadirah Lowen, BSW, MSW, LCSW-A
• Sean Thomas Lowers, PT, DPT, CCS
• Caitlynn Melissa Lowery
• Jill S. Lowery, PSY.D.
• Vivian Jill Lowery, PMHNP-BC
• William Jeffrey Lowery, M.D.
• Deloris Lowman-Crane, P-LCSW
• Alexandra Lowrie

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.