Active NPI
Brooke Lowrey, LCSW
- Clinical Social Worker
- Boonville, IN
National Provider Identifier
1235688599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34008765A
- Practice address
- 315 S 3Rd St
Boonville, IN 47601-1723 - Phone
- (812) 897-4776
- NPI assigned
- Sep 28, 2016
- Last updated
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34008765A | IN | Primary |
Addresses
Primary practice location
315 S 3Rd St
Boonville, IN 47601-1723
Mailing address
415 Mulberry St
Evansville, IN 47713-1230
Phone (812) 423-7791
Other practice location 1
310 S 5th Ave
Princeton, IN 47670-3519
Phone (812) 385-5275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Behavioral Health LLC | Social Worker | Current | Accepting new patients |
Locations
7300 E Indiana St
Ste 103
Evansville, IN 47715
Phone (812) 401-8008
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba dba LifeStance Health
- Psychiatry Physician
- Evansville, IN
- NPI 1427362201
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1235688599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MULBERRY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131230",
"telephone_number": "812-423-7791",
"fax_number": "812-422-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S 3RD ST",
"city": "BOONVILLE",
"state": "IN",
"postal_code": "476011723",
"telephone_number": "812-897-4776"
}
],
"practiceLocations": [
{
"address_1": "310 S 5th Ave",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "IN",
"postal_code": "476703519",
"country_code": "US",
"telephone_number": "812-385-5275",
"fax_number": "812-422-7558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOWREY",
"first_name": "BROOKE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-28",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008765A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.