Stoeckel, John Robert

Stoeckel, John Robert is an individual health care provider with primary practice located at 262 Leroy George Dr , Clyde NC 28721-7430. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stoeckel, John Robert can be contacted via phone (828) 452-8651.

Contact Information

Primary practice address
262 Leroy George Dr Clyde NC 28721-7430
Phone: (828) 452-8651
Fax: (828) 452-8691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW001814 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005774 North Carolina

Profile Details

NPI number 1639210503
LBN Legal business name Stoeckel, John Robert
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 9th, 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 1639210503 NPPES
North Carolina MEDICAID 763038492A

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