IndividualActive
Jacqueline Lockett, LISW
NPI 1497255343 · Mental Health Clinic/Center (Including Community Mental Health Center) · Willoughby, OH
Provider details
- NPI number
- 1497255343
- Entity type
- Individual
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- Yes
- License
- S.1302602 (OH)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense I.2102892 (OH)
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
35104 Euclid Ave Ste 306
Willoughby, OH 44094-4566
Phone: (216) 387-1759
Fax: (440) 571-5009
Street-level locationGet directions
Mailing address
35104 Euclid Ave Ste 306
Willoughby, OH 44094-4566
Registry dates
- Enumerated
- 2018-02-16
- Last updated
- 2022-10-27
- Certified
- 2022-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.