Healthcare Provider Details

I. General information

NPI: 1972991982
Provider Name (Legal Business Name): TONI LOCKETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2014
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 TAYLOR BLVD STE 200
PLEASANT HILL CA
94523-2290
US

IV. Provider business mailing address

395 TAYLOR BLVD STE 200
PLEASANT HILL CA
94523-2290
US

V. Phone/Fax

Practice location:
  • Phone: 925-374-2616
  • Fax:
Mailing address:
  • Phone: 925-374-2616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number142677
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: