Individual provider · Type 1 NPI

Shanequa Black

Clinical Social Worker · Sherman Oaks, CA

NPI number 1093597510 Active

Practice location

4401 Sepulveda Blvd Unit 210
Sherman Oaks, CA 91403-3934

Mailing address

1801 E Katella Ave Apt 4167
Anaheim, CA 92805-6673

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW114986 (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 1093597510

Shanequa Black's National Provider Identifier is 1093597510, issued on Oct 18, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sherman Oaks, CA. The record was last updated on Oct 18, 2023.