Provider Demographics
NPI:1902932544
Name:LOKEMAN, TINERA JOYCE (LCSW C)
Entity Type:Individual
Prefix:MRS
First Name:TINERA
Middle Name:JOYCE
Last Name:LOKEMAN
Suffix:
Gender:F
Credentials:LCSW C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4211 VERMONT AVENUE
Mailing Address - Street 2:LUTHERAN CHURCH OF REDEEMER
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229
Mailing Address - Country:US
Mailing Address - Phone:410-644-6780
Mailing Address - Fax:410-644-6781
Practice Address - Street 1:4211 VERMONT AVENUE
Practice Address - Street 2:LUTHERAN CHURCH OF REDEEMER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229
Practice Address - Country:US
Practice Address - Phone:410-644-6780
Practice Address - Fax:410-644-6781
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD012481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
R4061001OtherBLUE CROSS BLUE SHIELD