Provider Demographics
NPI:1639664741
Name:SARRAULT, JOANNE LOCKEY (LMSW, CAADC-DP)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:LOCKEY
Last Name:SARRAULT
Suffix:
Gender:F
Credentials:LMSW, CAADC-DP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 N MAIN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:CHEBOYGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49721-1162
Mailing Address - Country:US
Mailing Address - Phone:231-818-5029
Mailing Address - Fax:231-627-4201
Practice Address - Street 1:520 N MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:CHEBOYGAN
Practice Address - State:MI
Practice Address - Zip Code:49721-1162
Practice Address - Country:US
Practice Address - Phone:231-818-5029
Practice Address - Fax:231-627-4201
Is Sole Proprietor?:No
Enumeration Date:2018-06-30
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801118859104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1639664741Medicaid