Provider Demographics
NPI:1740307123
Name:LOCKMAN, GLORIA HARBIN (MSW)
Entity type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:HARBIN
Last Name:LOCKMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 BUGLE BOY DR
Mailing Address - Street 2:
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723-8133
Mailing Address - Country:US
Mailing Address - Phone:828-293-1060
Mailing Address - Fax:828-293-0841
Practice Address - Street 1:CHILDREN'S DEVELOPMENTAL SERVICES AGENCY OF THE SMOKIES
Practice Address - Street 2:87 BONNIE LANE
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779
Practice Address - Country:US
Practice Address - Phone:828-631-3900
Practice Address - Fax:828-631-9200
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0032861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical