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Organization
PAULA LOCKE, LCSW, CAP, PA
Active
Organization
PAULA LOCKE, LCSW, CAP, PA
Active
Other names
Total Intervention Early Services (TIES)
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA N LOCKE LCSW (LICENSE CLINICAL SOCIAL WORKER)
(754) 204-0312
Entity
Organization
Contact information
Practice address
4699 N STATE ROAD 7, SUITE P, LAUDERDALE LAKES, FL 33319-5879
(954) 234-2724
(954) 302-1830
Mailing address
9470 LIVE OAK PL, SUITE 405, DAVIE, FL 33324-4769
(754) 204-0312
(954) 302-1830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
FL
1041C0700X
Clinical Social Worker
Primary
—
FL
171M00000X
Case Manager/Care Coordinator
761451900
FL
172V00000X
Community Health Worker
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001314200
—
FL
05
—
001867700
—
FL
05
—
002968700
—
FL
05
—
761451900
—
FL
01
—
DJ386A
MEDICARE PTAN
FL
Enumeration date
07/10/2009
Last updated
05/29/2015
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