Kim Lowman

Individual provider Active NPI Clinical Social Worker · East Granby, CT

NPI 1174239149 · NPPES record last updated Jan 24, 2023

Key facts

NPI
1174239149
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
155 Holcomb St
East Granby, CT 06026-9532
Phone
(860) 808-7022
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

155 Holcomb St
East Granby, CT 06026-9532

Mailing address

155 Holcomb St
East Granby, CT 06026-9532
Phone (860) 808-7022

Other identifiers

IdentifierTypeStateIssuer
00000OtherN/A

Electronic endpoints

TypeEndpointUseAffiliation
Other URL n/a

Other providers in East Granby, CT

All providers in East Granby, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.