Organization · Type 2 NPI

Mary R. Stock, Phd, Lcsw, LLC

Clinical Social Worker · Diamondhead, MS

NPI number 1629381728 Active

Practice location

4423 Leisure Time Dr
Diamondhead, MS 39525-3221

Mailing address

PO Box 1144
Kiln, MS 39556-1144

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC2936 (MS)

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…

Another provider at this address

About NPI 1629381728

Mary R. Stock, Phd, Lcsw, LLC's National Provider Identifier is 1629381728, issued on Jul 17, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Diamondhead, MS. The record was last updated on Jul 17, 2010.