Melissa Marie Lockwood, OTRL

Primary specialty

ContractorTaxonomy code 171W00000X

License

OC003647L Issued in PA

Practice address

601 Butler St
Dunmore, PA 18512-2815

Phone

(570) 362-3373

Fax

(570) 344-4090

NPI assigned

Apr 3, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Melissa M. Dworak Evaluation Services, Inc.

  • Community Health Worker
  • Dunmore, PA
  • NPI 1679871271
  NPD
• Melissa M. Dworak Evaluation Services, Inc.

  • Early Intervention Provider Agency
  • Dunmore, PA
  • NPI 1912744822
  NPD

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922120922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BUTLER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122815",
            "telephone_number": "570-362-3373",
            "fax_number": "570-344-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BUTLER ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122815",
            "telephone_number": "570-362-3373",
            "fax_number": "570-344-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "PA",
            "license": "OC003647L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018636260001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Molly Liptock, DO
• Lisa Starr Ma PLLC
• Allison Jane Little, PSYD
• Stacey Marie Little, MA
• LMX Mobile Diagnostic Services,LLC
• Joseph Anthony Lopes, LCSW
• George Paul Loubet, D.C.
• Charles E Lubash, PA-C
• Yerodin Lucas
• M Radiological Associates, PC

• Contractor in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Contractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.