MEDICARE: LORI STOCK

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	1041C0700X	Clinical Social Worker	34007930A	IN

General Provider Information

NPI Number	:	1255974804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI STOCK

Provider Business Mailing Address
First Line	:	4122 BOCA TRL
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-5779
Country	:	US
Telephone Number	:	260-341-4113
Fax Number	:

Provider Business Practice Location Address
First Line	:	4306 E STATE BLVD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-6915
Country	:	US
Telephone Number	:	260-460-3203
Fax Number	:

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

Provider Enumeration Date	:	10/25/2019
Last Update Date	:	08/27/2020

Similar Medicare Providers

1871032862 — FORT WAYNE NEUROPSYCHOLOGY LLC
Practice Location Address:

4306 E STATE BLVD
FORT WAYNE, IN
46815-6915

Practice Phone: 260-460-3100
Practice Fax:

1366911000 — MARGARITA M NOGIN PH.D., HSPP
Practice Location Address:

4306 E STATE BLVD
FORT WAYNE, IN
46815-6915

Practice Phone: 260-460-3203
Practice Fax:

1447891312 — KELLY L HOOVER PH.D., HSPP
Practice Location Address:

4306 E STATE BLVD
FORT WAYNE, IN
46815-6915

Practice Phone: 260-460-3203
Practice Fax: 260-460-3271

1912686627 — CATHRINE SHORT PH.D.
Practice Location Address:

4306 E STATE BLVD
FORT WAYNE, IN
46815-6915

Practice Phone: 260-460-3203
Practice Fax:

1760981013 — HEATHER ROCHELLE PALMER MT-BC
Practice Location Address:

10317 LAKE TAHOE DR
FORT WAYNE, IN
46804-6915

Practice Phone: 260-437-3083
Practice Fax:

1831710201 — MARGARET R WARDLOW
Practice Location Address:

2121 LAKE AVENUE
FORT WAYNE, IN
46805-6915

Practice Phone: 260-715-8256
Practice Fax:

Directions to “ LORI STOCK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.