Provider Demographics
NPI:1194489955
Name:LOWE, SANDRA HAMMOND (LCSW, LISW-CP)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:HAMMOND
Last Name:LOWE
Suffix:
Gender:F
Credentials:LCSW, LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 E 65TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4430
Mailing Address - Country:US
Mailing Address - Phone:912-355-1440
Mailing Address - Fax:912-352-0802
Practice Address - Street 1:835 E 65TH ST STE 102
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4430
Practice Address - Country:US
Practice Address - Phone:912-355-1440
Practice Address - Fax:912-352-0802
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC140861041C0700X
GA4254441171M00000X
GACSW0072351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator