Provider Demographics
NPI:1699168070
Name:LOWDER, LADAWN (LCSW)
Entity type:Individual
Prefix:
First Name:LADAWN
Middle Name:
Last Name:LOWDER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 S 100 E
Mailing Address - Street 2:
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-2644
Mailing Address - Country:US
Mailing Address - Phone:801-510-7834
Mailing Address - Fax:
Practice Address - Street 1:9 W FOREST ST # 304TH
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-2111
Practice Address - Country:US
Practice Address - Phone:435-538-2774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-10
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT90393823501104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker