Carroll Wilcox Lockett, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 7325 Issued in FL

Practice address

2740 NW 17TH St
Fort Lauderdale, FL 33311-4402

Phone

(954) 793-0148

Fax

(954) 301-0645

NPI assigned

Dec 13, 2006

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)

Not enrolled

Credentials

Master of Science

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.

• Speakup Learning, LLC

  • Speech-Language Pathologist
  • Fort Lauderdale, FL
  • NPI 1689440273
  NPD Authorized official
• Kidspeak

  • Speech-Language Pathologist
  • Fort Lauderdale, FL
  • NPI 1285795807
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1609937218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 NW 17TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333114402",
            "telephone_number": "954-793-0148",
            "fax_number": "954-301-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 NW 17TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333114402",
            "telephone_number": "954-793-0148",
            "fax_number": "954-301-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKETT",
        "first_name": "CARROLL",
        "middle_name": "WILCOX",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 7325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lmo US LLC
• LNS Medical Supply LLC
• Elzbieta Lobacz-Kloosterman, PH.D.
• Eduardo R Locatelli, M.D., M.P.H.
• Jessica Lock, LMHC
• Roman Lockshin, LMHC, MA, MBA
• Daniel Alexander Lodenquai, MBBS
• Gary Rocco Loffredo
• Logistic Solutions
• Maria Virginia Logrono

• Speech-Language Pathologist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.