| Jeffrey M Locke, Lcsw, Pllc | |
|
7579 N Loop 1604 W San Antonio TX 78249-2781 | |
| (210) 695-1900 | |
| Not Available |
| Full Name | Jeffrey M Locke, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 7579 N Loop 1604 W, San Antonio, Texas |
| Authorized Official Name and Position | Jeffrey M Locke (OWNER) |
| Authorized Official Contact | 3175449445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey M Locke, Lcsw, Pllc 1081 Elbel Road #932 Schertz TX 78154-1454 Ph: (317) 544-9445 | Jeffrey M Locke, Lcsw, Pllc 7579 N Loop 1604 W San Antonio TX 78249-2781 Ph: (210) 695-1900 |
| NPI Number | 1811528599 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Medicare PECOS PAC ID | 3870915549 |
|---|---|
| Medicare Enrollment ID | O20200625001902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811528599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Jeffrey M Locke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174079214 PECOS PAC ID: 8729330832 Enrollment ID: I20181017001776 |
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