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General NPI Number Information
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NPI Number | 1174079214
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Entity Type | Individual
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Provider Name | JEFFREY M LOCKE LCSW-S
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Gender | Male
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 32665 US HIGHWAY 281 N STE 100
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City | BULVERDE
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State | TX
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Zip | 78163-3295
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Country | US
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Telephone | 830-438-3423
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Fax |
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Provider Business Mailing Address
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Address Line | 1081 ELBEL ROAD # 932
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City | SCHERTZ
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State | TX
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Zip | 78154-1454
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Country | US
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Telephone | 317-544-9445
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Fax | 888-830-2432
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34007608A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 59344
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License Number State | TX
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