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WALLACE LOCKETT
NPI 1679221584
Case Manager/Care Coordinator in Medina, OH

Active since March 10, 2022
1621 MEDINA RD, MEDINA, OH 44256(330) 241-4365 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2023, Mar 10, 2022 (2 updates tracked since 2022).

About Wallace Lockett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE LOCKETT (NPI 1679221584) is an individual case manager/care coordinator provider in Medina, Ohio and active in the NPI registry since March 2022. He maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1679221584
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameWALLACE LOCKETT
Location Address1621 MEDINA RDMedina, OH 44256-5333
Mailing Address17325 Euclid AveCleveland, OH 44112-1247 · (440) 753-1444
Phone(330) 241-4365
Sole ProprietorNo
Enumeration DateMarch 10, 2022
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1679221584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1621 MEDINA RD, Medina, OH 44256
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Secondary Practice Location 1

Location 117325 Euclid AveCleveland, OH 44112-1247 · Phone (440) 753-1444

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH CARR LSW
Social Worker
1621 MEDINA RD
MEDINA, OH 44256
Medina County (330) 241-4444
KATHERINE MILANI LPCC
Counselor (Mental Health)
1621 MEDINA RD
MEDINA, OH 44256
Medina County (330) 241-4444
DESTINI LASHE PAULS-LUCIUS
Case Manager/Care Coordinator
1621 MEDINA RD
MEDINA, OH 44256
Medina County (330) 241-4444
JASMINE REY
Case Manager/Care Coordinator
1621 MEDINA RD
MEDINA, OH 44256
Medina County (216) 932-2800
RYANNE GOODMAN MFT
Marriage & Family Therapist
1621 MEDINA RD
MEDINA, OH 44256
Medina County (330) 241-4444
ERIN DIETZEL
Case Manager/Care Coordinator
1621 MEDINA RD
MEDINA, OH 44256
Medina County (330) 241-4444
KYRSTIN J GENTILCORE QMHS
Case Manager/Care Coordinator
1621 MEDINA RD
MEDINA, OH 44256
Medina County (330) 241-4444
BRYAN MADDEN
Counselor (Mental Health)
1621 MEDINA RD
MEDINA, OH 44256
Medina County (330) 241-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Lockett's NPI number?

The NPI number for Wallace Lockett is 1679221584. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Where is Wallace Lockett located?

Wallace Lockett practices at 1621 Medina Rd, Medina, OH 44256. The listed phone number is (330) 241-4365.

What is Wallace Lockett's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Wallace Lockett was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.