Provider Demographics
NPI:1881123792
Name:LOCKEY, HEATHER LYNN (LCSW, LCAS)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LYNN
Last Name:LOCKEY
Suffix:
Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:LOCKEY
Other - Last Name:ENGLEHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HEATHER GUTHRIE
Mailing Address - Street 1:5509 CREEDMOOR RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-6312
Mailing Address - Country:US
Mailing Address - Phone:919-573-6520
Mailing Address - Fax:
Practice Address - Street 1:5509 CREEDMOOR RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-6312
Practice Address - Country:US
Practice Address - Phone:919-523-6520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0115141041C0700X
NCC0122911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical