Healthcare Provider Details

I. General information

NPI: 1285542852
Provider Name (Legal Business Name): LOCKE NUTRITION COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 JACKSON ST
WORCESTER MA
01608-2209
US

IV. Provider business mailing address

7 JACKSON ST
WORCESTER MA
01608-2209
US

V. Phone/Fax

Practice location:
  • Phone: 860-208-4983
  • Fax:
Mailing address:
  • Phone: 860-208-4983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER E LOCKE
Title or Position: OWNER
Credential: RD LDN
Phone: 860-208-4983