KELLEY NICOLE LOCKWOOD (NPI# 1477860898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477860898 |
| Entity Type | Individual |
| Full Name | KELLEY NICOLE LOCKWOOD |
| Credential | LCSW |
| Practice Address |
4990 Speak Ln Ste 100 San Jose CA 95118 |
| Mailing Address |
4990 Speak Ln San Jose CA 95118-4004 |
| Practice Telephone | 3478788114 |
| Practice Fax Number | 4082679649 |
| Mailing Telephone | 3478788114 |
| Mailing Fax Number | 4082679649 |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
81744 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
079933-01 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1190 Lincoln Ave Ste 7, San Jose, CA 951253036 | 3478788114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801321146 | Kelley Lynn Lockwood | Registered Nurse | 901 Stonewall Preston Rd, Stonewall, LA 71078-9351 | 2017-04-24 |
| Street Address |
4990 SPEAK LN STE 100 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821116245 | Marianne Tougas Vernacchia | Counselor | 4990 Speak Ln Ste 100, San Jose, CA 95118-2776 | 2007-03-26 |
| 1336687797 | Troy Pafenberg | Social Worker | 4990 Speak Ln Ste 100, San Jose, CA 95118-2776 | 2017-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235620907 | Misty Henne-bhullar Dmd Inc. | Dentist | 4984 Cherry Ave, San Jose, CA 95118 | 2018-05-29 |
| 1770013096 | Eunju Bang | Acupuncturist | 3315 Almaden Expy Ste 27, San Jose, CA 95118 | 2017-06-19 |
| 1306299391 | Satellite Healthcare Inc | Clinic/Center | 1450 Kooser Road, San Jose, CA 95118 | 2016-07-14 |
| 1881060739 | Brittany Star Curry | Physical Therapist | 3150 Almaden Expy Ste 120, San Jose, CA 95118 | 2015-08-14 |
| 1154690188 | Carrie Herbst | Marriage & Family Therapist | 1390 Dentwood Dr, San Jose, CA 95118 | 2011-12-20 |
| 1104096825 | Cheryl Ann Engelstad | Marriage & Family Therapist | 1455 E Foxworthy Ave, Pmb 159, San Jose, CA 95118 | 2008-03-10 |
| 1427251271 | Eric John Bohl | Marriage & Family Therapist | 4990 Speak Ln., Suite 100, San Jose, CA 95118 | 2007-06-08 |
| 1326249954 | Marcia May Kaufmann | Social Worker | 4990 Speak Lane, Suite 100, San Jose, CA 95118 | 2007-05-30 |
| 1386796498 | Rena Jean Zahorsky | Marriage & Family Therapist | 4990 Speak Lane Suite 100, San Jose, CA 95118 | 2007-01-17 |
| 1992885883 | Minoo Mehdikhan | Psychologist | 1131 Luchessi Dr Suite 2, San Jose, CA 95118 | 2006-10-16 |
| Find all providers in zip 95118 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633708 | Efrat Shemesh Katan | Social Worker | 1025 Wunderlich Dr, San Jose, CA 95129-3159 | 2020-06-09 |
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1083236905 | Carey Gil | Social Worker | 1885 The Alameda Ste 120, San Jose, CA 95126-1732 | 2020-05-13 |
| 1912555996 | Marie Danh | Social Worker | 701 Miller St, San Jose, CA 95110-2121 | 2019-09-03 |
| 1194203497 | Janet Caudillo | Social Worker | 373 W Julian St, San Jose, CA 95110-2319 | 2018-07-30 |
| 1699267971 | Wendy Shapiro | Social Worker | 1245 S Winchester Blvd Ste 306, San Jose, CA 95128-3908 | 2018-06-03 |
| 1871099523 | Elisse Reyna | Social Worker | 2670 S White Rd Ste 170, San Jose, CA 95148-2071 | 2018-04-02 |
| 1487166062 | Giorgio Andrea Quittan I | Social Worker | 1046 W Taylor St Ste 204, San Jose, CA 95126-1815 | 2017-11-03 |
| 1942712211 | Zenon Post | Social Worker | 31 N 2nd St # 265, San Jose, CA 95113-1231 | 2017-10-26 |
| 1578010526 | Gayle Peitso | Social Worker | 15780 Highland Dr, San Jose, CA 95127-1741 | 2016-09-07 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.