STACEY KAY MOCK
NPI 1154901361
Social Worker - Clinical in Russellville, KY

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment
433 SHELTON LN, RUSSELLVILLE, KY 42276(270) 901-5000 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2025, Oct 5, 2022, Apr 12, 2021 (3 updates tracked since 2021).

About Stacey Kay Mock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY KAY MOCK (NPI 1154901361) is an individual clinical provider in Russellville, Kentucky, licensed in Kentucky (260182) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154901361
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACEY KAY MOCK
Location Address433 SHELTON LNRussellville, KY 42276-7600
Mailing Address380 Suwannee Trail StBowling Green, KY 42103-7956 · (270) 901-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 12, 2021
Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
NPI 1154901361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in KY · 260182
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X
433 SHELTON LN, Russellville, KY 42276

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacey Kay Mock is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638692494
PECOS Enrollment IDI20250402001328
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42276 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Counselor
433 SHELTON LN
RUSSELLVILLE, KY 42276
Peer Specialist
433 SHELTON LN
RUSSELLVILLE, KY 42276
Marriage & Family Therapist
433 SHELTON LN
RUSSELLVILLE, KY 42276
Rehabilitation Counselor
433 SHELTON LN
RUSSELLVILLE, KY 42276
Case Manager/Care Coordinator
433 SHELTON LN
RUSSELLVILLE, KY 42276
Case Manager/Care Coordinator
433 SHELTON LN
RUSSELLVILLE, KY 42276
Case Manager/Care Coordinator
433 SHELTON LN
RUSSELLVILLE, KY 42276
Counselor
433 SHELTON LN
RUSSELLVILLE, KY 42276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Mock's NPI number?

The NPI number for Stacey Mock is 1154901361. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Stacey Mock located?

Stacey Mock practices at 433 Shelton Ln, Russellville, KY 42276. The listed phone number is (270) 901-5000.

What is Stacey Mock's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Stacey Mock enrolled in Medicare?

Yes. Stacey Mock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacey Mock accept?

Health plans from CareSource and Providence Health Plan list Stacey Mock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Mock was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.