| Stacey Kay Mock, | |
|
433 Shelton Ln, Russellville, KY 42276-7600 | |
| (270) 901-5000 | |
| Not Available |
| Full Name | Stacey Kay Mock |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 433 Shelton Ln, Russellville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154901361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 260182 (Kentucky) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Kay Mock, 380 Suwannee Trail St, Bowling Green, KY 42103-7956 Ph: (270) 901-5000 | Stacey Kay Mock, 433 Shelton Ln, Russellville, KY 42276-7600 Ph: (270) 901-5000 |
Mr. James K Slaton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1497 Nashville St, Russellville, KY 42276 Phone: 270-726-9568 Fax: 270-726-9570 | |
Melinda Gill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1006 Honeysuckle Ln, Russellville, KY 42276 Phone: 270-571-0049 |