MARY R. STOCK, PHD, LCSW, LLC
NPI 1629381728
Social Worker - Clinical in Diamondhead, MS

Active since July 17, 2010
4423 LEISURE TIME DR, DIAMONDHEAD, MS 39525(228) 216-0130 Get Directions Write a Review

NPPES record last updated: July 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary R. Stock, Phd, Lcsw, Llc NPPES

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

MARY R. STOCK, PHD, LCSW, LLC (NPI 1629381728) is a healthcare organization registered as a clinical in Diamondhead, Mississippi and active in the NPI registry since July 2010. The organization lists Mary R Stock, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1629381728
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMARY R. STOCK, PHD, LCSW, LLC
Location Address4423 LEISURE TIME DRDiamondhead, MS 39525-3221
Mailing AddressPo Box 1144Kiln, MS 39556-1144 · (228) 216-0130
Organization SubpartNo
Authorized OfficialMary R StockLicensed Clinical Social Worker · (228) 216-0130
Enumeration DateJuly 17, 2010
NPI 1629381728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MS · C2936
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.
4423 LEISURE TIME DR, Diamondhead, MS 39525

Other Identifiers 1

Other1811153042Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Social Worker
4423 LEISURE TIME DR
DIAMONDHEAD, MS 39525

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 Mary R. Stock, Phd, Lcsw, LLC's NPI number?

The NPI number for Mary R. Stock, Phd, Lcsw, LLC is 1629381728. It was assigned to this organization in the NPPES registry on July 17, 2010.

Where is Mary R. Stock, Phd, Lcsw, LLC located?

Mary R. Stock, Phd, Lcsw, LLC is located at 4423 Leisure Time Dr, Diamondhead, MS 39525. The listed phone number is (228) 216-0130.

What is Mary R. Stock, Phd, Lcsw, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary R. Stock, Phd, Lcsw, LLC was last updated on July 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.