Doctor Name: | STEFANIE LOCKERY |
NPI Number: | 1467813535 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LCSW-2596 |
Business Practice Address: | 13395 N Marana Main St Building B Marana, AZ - 856537008 |
Business Phone Number: | 5206821091 |
Business Fax Number: | |
Mailing Address: | 13395 N Marana Main St, MARANA |
State: | AZ |
Postal Code: | 856530188 |
Phone Number: | 5206824111 |
Fax Number: | 5206824570 |
NPI Enumeration Date: | 03/16/2016 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW-2596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |