| Lori Stock, | |
|
4306 E State Blvd, Fort Wayne, IN 46815-6915 | |
| (260) 460-3203 | |
| Not Available |
| Full Name | Lori Stock |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4306 E State Blvd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255974804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34007930A (Indiana) | Primary |
| Entity Name | Fort Wayne Neuropsychology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871032862 PECOS PAC ID: 0345526893 Enrollment ID: O20170417001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Stock, 4122 Boca Trl, Fort Wayne, IN 46815-5779 Ph: (260) 341-4113 | Lori Stock, 4306 E State Blvd, Fort Wayne, IN 46815-6915 Ph: (260) 460-3203 |
Alia Osborn, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6526 Hillsboro Ln, Fort Wayne, IN 46835 Phone: 260-494-2205 | |
Nicholas Todoran, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1909 Carew St, Fort Wayne, IN 46805 Phone: 260-481-2800 Fax: 260-969-8442 | |
Jeri Ann Forrest, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1818 Carew St, Suite 230, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8003 | |
Rikki Lynn Treesh, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4918 Canterbury Dr, Fort Wayne, IN 46835 Phone: 260-241-6191 | |
Ms. Yvonne Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3262 Mallard Cove Ln, Fort Wayne, IN 46804 Phone: 260-580-8508 Fax: 260-755-1451 | |
Deborah Louise Amick, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12333 Southampton Dr, Fort Wayne, IN 46814 Phone: 260-672-0491 | |
Scott Kruse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-421-1029 |