Provider Demographics
NPI:1336920891
Name:STOCKS, VERONICA LUCIANA (LMSW)
Entity type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:LUCIANA
Last Name:STOCKS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 BATTLE AVE
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-2910
Mailing Address - Country:US
Mailing Address - Phone:667-352-0878
Mailing Address - Fax:
Practice Address - Street 1:750 BATTLE AVE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2910
Practice Address - Country:US
Practice Address - Phone:667-352-0878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29316101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health