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Individual

LEA LOCKWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1130 TEN ROD RD STE A102, NORTH KINGSTOWN, RI 02852-4128
(401) 445-2323
(401) 429-6142
Mailing address
1130 TEN ROD RD STE A102, NORTH KINGSTOWN, RI 02852-4128
(401) 445-2323
(401) 429-6142

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01808
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000032080
RI BLUE CROSS PROVIDER #
RI
01
413855
RI BLUE CHIP PROVIDER #
RI
Enumeration date
05/10/2007
Last updated
12/15/2025
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