Provider Demographics
NPI:1659256444
Name:LOWINGER, ROBERT JAY (LMSW)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JAY
Last Name:LOWINGER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3422 FOREST VISTA DR
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-4653
Mailing Address - Country:US
Mailing Address - Phone:678-889-2588
Mailing Address - Fax:
Practice Address - Street 1:1021 BAXTER ST STE A
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-6385
Practice Address - Country:US
Practice Address - Phone:706-225-9123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-09
Last Update Date:2025-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW012098104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker