Individual provider · Type 1 NPI

Tawanna Jean Smith-Black

Clinical Social Worker · Ontario, CA

NPI number 1114273570 Active

Practice location

3281 E Guasti Rd Ste 450
Ontario, CA 91761-7635

Call (909) 323-7100 Map

Mailing address

743 W 99th St
Los Angeles, CA 90044-4605

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XASW118771 (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 1114273570

Tawanna Jean Smith-Black's National Provider Identifier is 1114273570, issued on Aug 2, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ontario, CA. The record was last updated on Jul 4, 2025.