Individual provider Active NPI

Mary Katherine Lowen, LCS 20409

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1497952485
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 20409 Issued in CA
Practice address
3801 E Willow St
219
Long Beach, CA 90815-1734
Phone
(562) 427-7916
Fax
(562) 427-7910
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 20409 CA Primary

Addresses

Primary practice location

3801 E Willow St
219
Long Beach, CA 90815-1734

Mailing address

12 Mira Mar Ave
Long Beach, CA 90803-2880

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 20409CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497952485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MIRA MAR AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908032880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E WILLOW ST",
            "address_2": "219",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151734",
            "telephone_number": "562-427-7916",
            "fax_number": "562-427-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWEN",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "LCS 20409",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 20409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.