Provider Demographics
NPI:1760029391
Name:LOCKWOOD, NANCY (BA, CWIP, CESP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:LOCKWOOD
Suffix:
Gender:F
Credentials:BA, CWIP, CESP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 FIJI ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1807
Mailing Address - Country:US
Mailing Address - Phone:907-444-4663
Mailing Address - Fax:
Practice Address - Street 1:731 E 8TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3772
Practice Address - Country:US
Practice Address - Phone:907-891-3973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical