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NPI Code Detail

MEDICARE: TORI ASHLEY LOCKETT MSW

MEDICARE:   TORI ASHLEY LOCKETT  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1194381988
Entity Type Code : Individual
Provider Name (Legal Business Name) : TORI ASHLEY LOCKETT MSW
Provider Business Mailing Address
First Line : 225 N MAIN ST STE 106
Second Line :
City : BRISTOL
State : CT
Zip : 06010-4993
Country : US
Telephone Number : 860-793-3875
Fax Number : 860-793-3369
Provider Business Practice Location Address
First Line : 225 N MAIN ST STE 106
Second Line :
City : BRISTOL
State : CT
Zip : 06010-4993
Country : US
Telephone Number : 860-793-3875
Fax Number : 860-793-3369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2019
Last Update Date : 03/18/2024

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Directions to “ TORI ASHLEY LOCKETT MSW” Practice Location

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