Provider Demographics
NPI:1689804767
Name:LOCKLEAR, CINDY E (DSW, LCSW)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:E
Last Name:LOCKLEAR
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 W 21ST ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-3667
Mailing Address - Country:US
Mailing Address - Phone:910-618-7457
Mailing Address - Fax:
Practice Address - Street 1:207 W 21ST ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3667
Practice Address - Country:US
Practice Address - Phone:910-618-7457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0064411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical