Individual provider · Type 1 NPI

Leah Black, LCSW

Clinical Social Worker · Jackson, WY

NPI number 1003107731 Active

Practice location

310 E Broadway Ave
Jackson, WY 83001-8636

Call (307) 654-7003 Map

Fax (307) 224-4973

Mailing address

PO Box 13572
Jackson, WY 83002-3572

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-742 (WY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003107731

Leah Black, LCSW's National Provider Identifier is 1003107731, issued on Apr 28, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, WY. The record was last updated on Feb 18, 2015.