MEDICARE: LOCKWOOD SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	103TC2200X	Clinical Child & Adolescent Psychologist

General Provider Information

NPI Number	:	1518647726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOCKWOOD SERVICES, LLC

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	:	PRESIETN/PSYCHOLOGIST
Name	:	DR. LEA BETH LOCKWOOD
Credential	:	PHD
Telephone Number	:	401-556-9399

Provider Enumeration Date	:	07/21/2023
Last Update Date	:	12/31/2025

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Directions to “LOCKWOOD SERVICES, LLC ” Practice Location

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