Provider Demographics
NPI:1124796875
Name:LOW, NING QIAN (MSW)
Entity type:Individual
Prefix:
First Name:NING
Middle Name:QIAN
Last Name:LOW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:DESIREE
Other - Middle Name:
Other - Last Name:LOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:780 AMERICAN LEGION HWY
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-3908
Mailing Address - Country:US
Mailing Address - Phone:617-583-3204
Mailing Address - Fax:
Practice Address - Street 1:83 CAMBRIDGE PKWY UNIT W507
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02142-1298
Practice Address - Country:US
Practice Address - Phone:617-583-3204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker