Stacey Kay Mock
NPI 1154901361ActiveIndividual· Social Worker, Clinical· Russellville, KY
Social Worker, Clinical with Kentucky Counseling Center LLC and 1 other group, practicing in Russellville, Kentucky. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1154901361 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 12, 2021 |
| Last updated in NPPES | Mar 24, 2025 |
| Certified by provider | Mar 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 260182 | KY |
| Social Worker | 104100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (KY) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical groups
- Kentucky Counseling Center LLCLexington, KY · 58 clinicians
- Kw Consulting LLCBowling Green, KY · 24 clinicians
Other Social Worker, Clinical providers in Russellville
- 1780692285
- 1104212521
- 1407575046