Tracy Allyn Lockwood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05215100 Issued in NJ

Practice address

119 Brookfield Dr
Jackson, NJ 08527-3877

Phone

(732) 578-8160

NPI assigned

Jun 10, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CPC Behavioral Healthcare, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Matawan, NJ
  • NPI 1912036120
  NPD (past)
• CPC Integrated Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Freehold, NJ
  • NPI 1508994617
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1275769705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BROOKFIELD DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273877",
            "telephone_number": "732-578-8160",
            "fax_number": "732-578-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BROOKFIELD DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273877",
            "telephone_number": "732-578-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "TRACY",
        "middle_name": "ALLYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05215100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lewis, RN, BSN
• Asher Lipner, PHD
• Sherry Liu
• Living Well 4 Life
• Lydia Berger Locke, MA,CCC-SLP
• Imirrah B Logan
• Alysa Rae Longo
• Serena Lyn Lopez, COTA/L
• Vanessa Lopez
• Dgyna B. Lorquet, MSW, LCSW

• Clinical Social Worker in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.