Stacey Kay Mock
Stacey Kay Mock is a Clinical Social Worker in Russellville, Kentucky. Qualified in 2022, 4 years ago. Practices with Kw Consulting LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Kentucky.
- Years since qualifying
- 4
- Licensed in
- KY
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
433 Shelton LnRussellville, KY 42276-7600
Phone: (270) 901-5000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 260182 (KY) |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1154901361 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 12, 2021 |
| Last updated in NPPES | March 24, 2025 |
| Certification date | March 24, 2025 |
| Mailing address | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Kw Consulting Llc — 28 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Russellville
-
Melinda Gill, LCSW
1006 Honeysuckle Ln, Russellville, KY 42276-1037 · (270) 571-0049
-
Mr. James K Slaton, LCSW
1497 Nashville St, Russellville, KY 42276-8850 · (270) 726-9568