MEDICARE: WILLIAM STOCKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LC13393	MD

General Provider Information

NPI Number	:	1720755390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM STOCKER

Provider Business Mailing Address
First Line	:	6450 SUMMER CLOUD WAY
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-5622
Country	:	US
Telephone Number	:	301-919-4813
Fax Number	:

Provider Business Practice Location Address
First Line	:	6450 SUMMER CLOUD WAY
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-5622
Country	:	US
Telephone Number	:	301-919-4813
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2021
Last Update Date	:	03/11/2026

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Directions to “ WILLIAM STOCKER ” Practice Location

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