Kelley Nicole Lockwood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

81744 Issued in CA

Practice address

4990 Speak LN Ste 100
San Jose, CA 95118

Phone

(347) 878-8114

Fax

(408) 267-9649

NPI assigned

Sep 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Catholic Charities Neigborhood Services

  • Clinical Social Worker
  • Glendale, NY
  • NPI 1881910131
  NPD (past)

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1477860898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 SPEAK LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951184004",
            "telephone_number": "347-878-8114",
            "fax_number": "408-267-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 SPEAK LN STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95118",
            "telephone_number": "347-878-8114",
            "fax_number": "408-267-9649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Lincoln Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951253036",
            "country_code": "US",
            "telephone_number": "347-878-8114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "KELLEY",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079933-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allessandra Locke
• Earl Lavelle Locke Sr.
• Roger Earl Locke
• James P. Lockhart, MEDICAL DOCTOR
• Laquantae Locksey
• Timothy A. Lockyer, MD
• Vivian N/a Loera-Vega
• Anthony Loera
• Lofton & Tong, LLC
• David John Loftus, M.D.

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.