Mock, William L.

Mock, William L. is an individual health care provider with primary practice located at 14650 Detroit Avenue Suite Ll40, Lakewood OH 44107. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mock, William L. can be contacted via phone (216) 226-2721.

Contact Information

Primary practice address
14650 Detroit Avenue Suite Ll40 Lakewood OH 44107
Phone: (216) 226-2721
Fax: (216) 226-2731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 78002 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3670 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I0002480 Ohio

Profile Details

NPI number 1467498113
LBN Legal business name Mock, William L.
Credentials PHD., LISW-S, LICDC,
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Dec 13th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467498113 NPPES
Ohio MEDICAID 0274297

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