Provider Demographics
NPI:1437503844
Name:LOCKETT, DARLYNN ELAINE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:DARLYNN ELAINE
Middle Name:
Last Name:LOCKETT
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 SHATTUCK AVE STE 804
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-1229
Mailing Address - Country:US
Mailing Address - Phone:510-214-3738
Mailing Address - Fax:
Practice Address - Street 1:2140 SHATTUCK AVE STE 804
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-1229
Practice Address - Country:US
Practice Address - Phone:510-214-3738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83371101YM0800X
CA999921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health