Individual provider Active NPI

Marilyn Morgan Lowrance, LCSW, MBA

  • Clinical Social Worker
  • Vienna, VA
National Provider Identifier
1760880421
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008791 Issued in VA
Practice address
133 Park St NE
Vienna, VA 22180-4602
Phone
(703) 281-4928
Fax
(703) 242-1454
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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 0904008791 VA Primary

Addresses

Primary practice location

133 Park St NE
Vienna, VA 22180-4602

Mailing address

133 Park St NE
Vienna, VA 22180-4602
Phone (703) 281-4928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20150220000932 DC Practitioner - Clinical Social Worker 3678898392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

501 Church St NE
Suite 208
Vienna, VA 22180-4734
Phone (703) 628-9035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Marilyn Morgan Lowrance LLC Clinical CurrentSince May 7, 2016 Accepting new patients

Locations

501 Church St NE
Ste 208
Vienna, VA 22180
Phone (703) 570-4104

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1760880421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PARK ST NE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804602",
            "telephone_number": "703-281-4928",
            "fax_number": "703-242-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PARK ST NE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804602",
            "telephone_number": "703-281-4928",
            "fax_number": "703-242-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRANCE",
        "first_name": "MARILYN",
        "middle_name": "MORGAN",
        "name_prefix": "Ms.",
        "credential": "LCSW, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.