MR. DUSTIN SCOTT MOCK LCSW
NPI 1639902190
Social Worker - Clinical in Clarksville, TN

Active since August 21, 2024PECOS EnrolledAccepts Medicare Assignment
105 OTIS SMITH DR, CLARKSVILLE, TN 37043(931) 320-9213 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2024, Aug 22, 2024 (2 updates tracked since 2024).

About Mr. Dustin Scott Mock Lcsw NPPES

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

MR. DUSTIN SCOTT MOCK LCSW (NPI 1639902190) is an individual clinical provider in Clarksville, Tennessee, licensed in Tennessee (9238) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639902190
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DUSTIN SCOTT MOCKCredential: LCSW
Location Address105 OTIS SMITH DRClarksville, TN 37043-8940
Mailing Address3007 Timberdale DrClarksville, TN 37042-8855 · (712) 212-2476
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 21, 2024
Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
NPI 1639902190 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 TN · 9238
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.

105 OTIS SMITH DR, Clarksville, TN 37043

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

Mr. Dustin Scott Mock Lcsw 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 ID3375079122
PECOS Enrollment IDI20241204001366
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 37043 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 $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 8

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

Counselor (Professional)
105 OTIS SMITH DR
CLARKSVILLE, TN 37043
Counselor (Professional)
105 OTIS SMITH DR
CLARKSVILLE, TN 37043
Marriage & Family Therapist
105 OTIS SMITH DR
CLARKSVILLE, TN 37043
Counselor (Professional)
105 OTIS SMITH DR
CLARKSVILLE, TN 37043
Social Worker (Clinical)
105 OTIS SMITH DR
CLARKSVILLE, TN 37043
Counselor (Professional)
105 OTIS SMITH DR
CLARKSVILLE, TN 37043
Social Worker (Clinical)
105 OTIS SMITH DR
CLARKSVILLE, TN 37043
Nurse Practitioner (Psychiatric/Mental Health)
105 OTIS SMITH DR
CLARKSVILLE, TN 37043

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 Dustin Mock's NPI number?

The NPI number for Dustin Mock is 1639902190. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Dustin Mock located?

Dustin Mock practices at 105 Otis Smith Dr, Clarksville, TN 37043. The listed phone number is (931) 320-9213.

What is Dustin Mock's specialty?

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

Is Dustin Mock enrolled in Medicare?

Yes. Dustin 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 Dustin Mock accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Dustin 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 Dustin Mock was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.