Individual provider · Type 1 NPI

Stacey Kay Mock

Clinical Social Worker · Russellville, KY

NPI number 1154901361 Active

Practice location

433 Shelton Ln
Russellville, KY 42276-7600

Call (270) 901-5000 Map

Mailing address

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X260182 (KY)
Social Worker 104100000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1154901361

Stacey Kay Mock's National Provider Identifier is 1154901361, issued on Apr 12, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Russellville, KY. The record was last updated on Mar 24, 2025.