Individual provider · Type 1 NPI
Alexander Jerrod Black, ACSW
Clinical Social Worker · Los Angeles, CA
Practice location
4211 Avalon Blvd
Los Angeles, CA 90011-5622
Mailing address
4047 Halldale Ave
Los Angeles, CA 90062-1851
Other practice locations
- 611 S Kingsley Dr, Los Angeles, CA 90005-2319 · (213) 201-1600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 114171 (CA) |
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 1003518028
Alexander Jerrod Black, ACSW's National Provider Identifier is 1003518028, issued on Mar 21, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on May 27, 2025.