Dr William L Mock, PHD, LISW-S, LICDC, is a
Psychologist - Clinical based in Lakewood, Ohio. Dr William L Mock is licensed to practice in Ohio (license number 3670) and his current practice location is
14650 Detroit Avenue, Suite Ll40, Lakewood, Ohio. He can be reached at his office (for appointments etc.) via phone at
(216) 226-2721.
NPI number for Dr William L Mock is 1467498113 and his current mailing address is 14650 Detroit Avenue, Suite Ll40, Lakewood, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467498113.
Healthcare Provider's Profile
| Full Name | Dr William L Mock |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
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| Location | 14650 Detroit Avenue, Lakewood, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467498113
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 12/13/2011
Medical Identifiers
Medical identifiers for Dr William L Mock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467498113 | NPI | - | NPPES |
| 0274297 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 78002 (Ohio) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3670 (Ohio) | Primary |
| 1041C0700X | Social Worker - Clinical | I0002480 (Ohio) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr William L Mock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr William L Mock, PHD, LISW-S, LICDC,
14650 Detroit Avenue, Suite Ll40,
Lakewood, OH 44107
Ph: (216) 226-2721 | Dr William L Mock, PHD, LISW-S, LICDC,
14650 Detroit Avenue, Suite Ll40,
Lakewood, OH 44107
Ph: (216) 226-2721 |
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