| Alicia Locke, Lcsw | |
|
9000 Feather Hill Rd Austin TX 78737-1219 | |
| (512) 288-3472 | |
| (512) 288-3472 |
| Full Name | Alicia Locke, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 9000 Feather Hill Rd, Austin, Texas |
| Authorized Official Name and Position | Alicia V Locke (CO-OWNER AND PRESIDENT) |
| Authorized Official Contact | 5122883472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Locke, Lcsw 9000 Feather Hill Rd Austin TX 78737-1219 Ph: (512) 288-3472 | Alicia Locke, Lcsw 9000 Feather Hill Rd Austin TX 78737-1219 Ph: (512) 288-3472 |
| NPI Number | 1740474451 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 09/06/2007 |
| Medicare PECOS PAC ID | 8921193533 |
|---|---|
| Medicare Enrollment ID | O20070927000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740474451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 04857 (Texas) | Primary |
| Provider Name | Alicia V Locke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013924463 PECOS PAC ID: 9739274341 Enrollment ID: I20070927000400 |
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