Provider Demographics
NPI:1790367290
Name:LOCKLEAR, SARAH (MSW, LCSW-A)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LOCKLEAR
Suffix:
Gender:F
Credentials:MSW, LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 W 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:RED SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28377-1508
Mailing Address - Country:US
Mailing Address - Phone:910-876-5410
Mailing Address - Fax:
Practice Address - Street 1:2411 N ELM ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3658
Practice Address - Country:US
Practice Address - Phone:910-802-4365
Practice Address - Fax:910-802-4581
Is Sole Proprietor?:No
Enumeration Date:2021-04-23
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NCP0164461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical