Provider Demographics
NPI:1811018724
Name:LOCKETT, DUSTY MORRIS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DUSTY
Middle Name:MORRIS
Last Name:LOCKETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 991
Mailing Address - Street 2:
Mailing Address - City:HILMAR
Mailing Address - State:CA
Mailing Address - Zip Code:95324
Mailing Address - Country:US
Mailing Address - Phone:209-233-1927
Mailing Address - Fax:209-633-5694
Practice Address - Street 1:384 E. OLIVE
Practice Address - Street 2:#4
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380
Practice Address - Country:US
Practice Address - Phone:209-233-1927
Practice Address - Fax:209-633-5694
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 221931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical