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Provider Information for 1699433490


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LACHICA MESHAWN STOWE LCSW-A


Sex: Female

NPI: 1699433490
Last Updated: 2024-07-15
Certification Date: 2024-07-09

Details

NameValue
NPI1699433490
Enumeration Date2021-11-30
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 19305
CHARLOTTE, NC 28219-9305
United States

Phone: | Fax:
 
Primary Practice Address 501 BILLINGSLEY RD
STE B
CHARLOTTE, NC 28211-1009
United States

Phone: 704-444-2400 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Direct Messaging Address
lstowe447661@CarolinasHealthcareSystem.direct-ci.com
Atrium Health 501 Billingsley Rd
Charlotte, NC 28211-1009
United States
CONNECT URL
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.667.2
CMS esMD eMDR ABILITY Network 100 N 6th St Ste 900A
Minneapolis, MN 55403-1516
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNCC016101