Provider Demographics
NPI:1790053288
Name:LOCKMAN, FRANK L (LCSW-C)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:L
Last Name:LOCKMAN
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 QUARRY VIEW CT UNIT 403
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-6275
Mailing Address - Country:US
Mailing Address - Phone:410-639-3369
Mailing Address - Fax:
Practice Address - Street 1:510 QUARRY VIEW CT UNIT 403
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-6275
Practice Address - Country:US
Practice Address - Phone:410-639-3369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD214205800Medicaid