Provider Demographics
NPI:1861523276
Name:LOWENSTEIN, EDWARD R (PHD, MSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:R
Last Name:LOWENSTEIN
Suffix:
Gender:M
Credentials:PHD, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 N 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2418
Mailing Address - Country:US
Mailing Address - Phone:732-937-6626
Mailing Address - Fax:
Practice Address - Street 1:9 N 2ND AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2418
Practice Address - Country:US
Practice Address - Phone:732-937-6626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC003658001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ638774Medicare ID - Type UnspecifiedLCSW