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

Mr. Dustin Scott Mock, LCSW

Individual provider Clinical Social Worker · NPI 1639902190

Mr. Dustin Scott Mock, LCSW is a Clinical Social Worker in Clarksville, Tennessee. Qualified in 2017, 9 years ago. Practices with Family Care Center LLC, a 693-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

105 Otis Smith Dr
Clarksville, TN 37043-8940
Phone: (931) 320-9213
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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 9238 (TN)

Record details

NPI number1639902190
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 21, 2024
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Family Care Center Llc — 693 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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