Provider Demographics
NPI:1144349291
Name:STONER, WILLIAM CARL III (LCSW)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:CARL
Last Name:STONER
Suffix:III
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4555 N PERSHING AVE
Mailing Address - Street 2:33-155
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-6740
Mailing Address - Country:US
Mailing Address - Phone:209-481-4365
Mailing Address - Fax:
Practice Address - Street 1:1743 GRAND CANAL BLVD
Practice Address - Street 2:SUITE #16
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-8108
Practice Address - Country:US
Practice Address - Phone:209-512-0212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS117581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical