Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary R. Stock, PHD, LCSW, LLC

Organization Clinical Social Worker · NPI 1629381728

Mary R. Stock, PHD, LCSW, LLC is a Clinical Social Worker in Diamondhead, Mississippi. Licensed in Mississippi. Registered with an NPI since 2010.

Licensed in
MS
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4423 Leisure Time Dr
Diamondhead, MS 39525-3221
Phone: (228) 216-0130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C2936 (MS)

Record details

NPI number1629381728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Stock — Licensed Clinical Social Worker · (228) 216-0130
NPI enumeratedJuly 17, 2010
Last updated in NPPESJuly 17, 2010
Mailing addressPo Box 1144, Kiln, MS 39556-1144

Other providers in Diamondhead