Individual provider · Type 1 NPI

Para Evette Black, BSW

Clinical Social Worker · Charlotte, NC

NPI number 1083087167 Active

Practice location

500 Archdale Dr
Charlotte, NC 28217-4217

Call (704) 332-9001 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP016157 (NC)

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 1083087167

Para Evette Black, BSW's National Provider Identifier is 1083087167, issued on Nov 11, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Nov 5, 2025.