Provider Demographics
NPI:1427447499
Name:LOCKROW, CYNTHIA ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:ANN
Last Name:LOCKROW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 MDG
Mailing Address - Street 2:280 DAVID L. GOLDFEIN STREET, BLDG 23
Mailing Address - City:HOLLOMAN AFB
Mailing Address - State:NM
Mailing Address - Zip Code:88330-6787
Mailing Address - Country:US
Mailing Address - Phone:575-572-8390
Mailing Address - Fax:
Practice Address - Street 1:49 MDG
Practice Address - Street 2:280 DAVID L. GOLDFEIN STREET, BLDG 23
Practice Address - City:HOLLOMAN AFB
Practice Address - State:NM
Practice Address - Zip Code:88330-6787
Practice Address - Country:US
Practice Address - Phone:575-572-8390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-14
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077097-1101YP2500X
NMM-11836104100000X
NMSWB-2024-07681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker