Individual provider · Type 1 NPI

Randall Carl Black, LCSW

Clinical Social Worker · Pearland, TX

NPI number 1043322068 Active

Practice location

1610 Calico Canyon Ln
Pearland, TX 77581-5574

Fax (866) 642-6202

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XS23276 (TX)
Case Manager/Care Coordinator 171M00000X23276 (TX)
Clinical Social Worker Primary 1041C0700XS23276 (TX)

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 1043322068

Randall Carl Black, LCSW's National Provider Identifier is 1043322068, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pearland, TX. The record was last updated on Mar 7, 2022.