Mia Cheyenne Lockhart

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14770 Issued in FL

Practice address

1300 N Palafox St Ste 103
Pensacola, FL 32501-2678

Phone

(850) 266-2797

NPI assigned

Oct 5, 2020

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

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1790382661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 SPANISH TRL APT 65",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044906",
            "telephone_number": "850-225-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N PALAFOX ST STE 103",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012678",
            "telephone_number": "850-266-2797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741407",
            "country_code": "US",
            "telephone_number": "713-970-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "MIA",
        "middle_name": "CHEYENNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "111587",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living Therapeutically
• Tyanna Shinese Livingston, APRN, FNP-C
• Ljak Enterprises LLC (Ellie Mental Health - NW Florida)
• Lloyd K. Ritchie, Jr., DDS, PA
• Jessica L. Locchead, PA
• Alyssa Breann Locklin, RMHCI
• Derek Lodico, DO
• Gregory Mark Loftis, MD
• Carlton Joshua Logan, ATC
• Edwin Logan, PT, DPT

• Clinical Social Worker in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.