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NPI Code Detail

MEDICARE: LEA LOCKWOOD LICSW

MEDICARE:   LEA  LOCKWOOD  LICSW
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
11041C0700XClinical Social WorkerISW01808RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1413855OTHERRIRI BLUE CHIP PROVIDER #
20000032080OTHERRIRI BLUE CROSS PROVIDER #

General Provider Information

NPI Number : 1255545091
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEA LOCKWOOD LICSW
Provider Business Mailing Address
First Line : 1130 TEN ROD RD STE A102
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-4128
Country : US
Telephone Number : 401-445-2323
Fax Number : 401-429-6142
Provider Business Practice Location Address
First Line : 1130 TEN ROD RD STE A102
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-4128
Country : US
Telephone Number : 401-445-2323
Fax Number : 401-429-6142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 12/15/2025

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Directions to “ LEA LOCKWOOD LICSW” Practice Location

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