Provider Demographics
NPI:1154762813
Name:LOCKARD, TENECIA (MSW)
Entity type:Individual
Prefix:
First Name:TENECIA
Middle Name:
Last Name:LOCKARD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 W 3RD AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-2236
Mailing Address - Country:US
Mailing Address - Phone:907-279-9634
Mailing Address - Fax:907-279-0148
Practice Address - Street 1:509 W 3RD AVE
Practice Address - Street 2:STE 103
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-2236
Practice Address - Country:US
Practice Address - Phone:907-279-9634
Practice Address - Fax:907-279-0148
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health