Provider Demographics
NPI:1427697101
Name:LOCKETT, ZECHARIAH (MSW, LCSWA)
Entity type:Individual
Prefix:
First Name:ZECHARIAH
Middle Name:
Last Name:LOCKETT
Suffix:
Gender:M
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 LONG CREEK CLUB DR APT 205
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-0180
Mailing Address - Country:US
Mailing Address - Phone:678-708-1188
Mailing Address - Fax:
Practice Address - Street 1:2040 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1236
Practice Address - Country:US
Practice Address - Phone:908-219-8622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical