Provider Demographics
NPI:1386098499
Name:ROWE, ALLAN (LCSW)
Entity type:Individual
Prefix:
First Name:ALLAN
Middle Name:
Last Name:ROWE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-5913
Mailing Address - Country:US
Mailing Address - Phone:228-327-3531
Mailing Address - Fax:
Practice Address - Street 1:3600 BLUECUTT RD STE 201
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-1397
Practice Address - Country:US
Practice Address - Phone:662-434-4210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-15
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA147081041C0700X, 171M00000X
MSC102341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical