Individual
BERTA LOWENSTEIN
Active
Individual
BERTA LOWENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00035212
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00035212
—
NY
01
—
00400166001
BLUE SHIELD OF NORTHEASTERN NY
—
01
—
040426031838
FIDELIS
—
01
—
11578810
CAQH
—
01
—
20857
BLUE SHIELD
—
01
—
53088
MVP
—
01
—
N9J101
BLUECROSS BLUESHIELD
—
Enumeration date
07/20/2006
Last updated
05/19/2010
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