Provider Demographics
NPI:1518647726
Name:LOCKWOOD SERVICES, LLC
Entity Type:Organization
Organization Name:LOCKWOOD SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIETN/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:LOCKWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:401-556-9399
Mailing Address - Street 1:35 SOUTH COUNTY COMMONS WAY
Mailing Address - Street 2:SUITE D-10
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879
Mailing Address - Country:US
Mailing Address - Phone:401-556-9399
Mailing Address - Fax:401-429-6142
Practice Address - Street 1:35 SOUTH COUNTY COMMONS WAY
Practice Address - Street 2:SUITE D-10
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879
Practice Address - Country:US
Practice Address - Phone:401-556-9399
Practice Address - Fax:401-429-6142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty