Individual provider Active NPI

Shannon Colleen Lowery-Garza, LCSW

  • Clinical Social Worker
  • Eddy, TX
National Provider Identifier
1669666780
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31027 Issued in TX
Practice address
480 Highway 7
Eddy, TX 76524-2448
Phone
(254) 859-5990
Fax
(254) 859-5188
NPI assigned
Aug 31, 2007
Last updated
Aug 31, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 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 31027 TX Primary

Addresses

Primary practice location

480 Highway 7
Eddy, TX 76524-2448

Mailing address

480 Highway 7
Eddy, TX 76524-2448
Phone (254) 859-5990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050718000036 TX Practitioner - Clinical Social Worker 6406882851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

304 S 22ND St
Temple, TX 76501-4726
Phone (254) 778-4841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Counties Center for Mental Health & Mental Retardation SRVS CurrentSince Apr 1, 2016 Accepting new patients
Central Counties Center for Mental Health & Mental Retardation SRVS Clinical CurrentSince Apr 1, 2016 Accepting new patients
Avalon Center Incorporated Past Accepting new patients
Avalon Center Past Accepting new patients

Locations

304 S 22nd St
Temple, TX 76501
Phone (254) 298-7000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1669666780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 HIGHWAY 7",
            "city": "EDDY",
            "state": "TX",
            "postal_code": "765242448",
            "telephone_number": "254-859-5990",
            "fax_number": "254-859-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 HIGHWAY 7",
            "city": "EDDY",
            "state": "TX",
            "postal_code": "765242448",
            "telephone_number": "254-859-5990",
            "fax_number": "254-859-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY-GARZA",
        "first_name": "SHANNON",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eddy, TX

Sources for this page

Verify at the official NPI Registry.