MEDICARE: MS. JACQUELINE NASHELLE LOCKETT LISW

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
1	1041C0700X	Clinical Social Worker	S.1302602	OH
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	I.2102892	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497255343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JACQUELINE NASHELLE LOCKETT LISW

Provider Business Mailing Address
First Line	:	35104 EUCLID AVE STE 306
Second Line	:
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-4566
Country	:	US
Telephone Number	:	440-571-5009
Fax Number	:	440-571-4850

Provider Business Practice Location Address
First Line	:	35104 EUCLID AVE STE 306
Second Line	:
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-4566
Country	:	US
Telephone Number	:	216-387-1759
Fax Number	:	440-571-5009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2018
Last Update Date	:	10/27/2022

Similar Medicare Providers

1881559169 — KOURTNEY WILLIAMS
Practice Location Address:

35104 EUCLID AVE STE 300
WILLOUGHBY, OH
44094-4566

Practice Phone: 440-417-3028
Practice Fax:

1356204838 — SIGNATURE CARE SOLUTIONS AGENCY LLC
Practice Location Address:

35104 EUCLID AVE STE 302
WILLOUGHBY, OH
44094-4566

Practice Phone: 888-604-1319
Practice Fax:

1679998066 — EVERGREEN EMPOWERMENT GROUP INC
Practice Location Address:

35104 EUCLID AVE STE 314
WILLOUGHBY, OH
44094-4566

Practice Phone: 216-703-0067
Practice Fax:

1154932473 — PHOENIX COUNSELING AND WELLNESS, LLC
Practice Location Address:

35104 EUCLID AVE STE 306
WILLOUGHBY, OH
44094-4566

Practice Phone: 440-571-5009
Practice Fax: 440-571-4850

1740854496 — DEBORAH MERLE WEINSTEIN
Practice Location Address:

35104 EUCLID AVE STE 305
WILLOUGHBY, OH
44094-4566

Practice Phone: 440-527-8006
Practice Fax:

1528735362 — MISS CHRISTINE RENEE LOWE CT
Practice Location Address:

35104 EUCLID AVE STE 305
WILLOUGHBY, OH
44094-4566

Practice Phone: 440-527-8006
Practice Fax:

Directions to “ MS. JACQUELINE NASHELLE LOCKETT LISW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.