Individual provider · Type 1 NPI

Johanna Catherine Black, MSW, LCSW

Clinical Social Worker · Boulder, CO

NPI number 1174908099 Active

Practice location

1501 Yarmouth Ave
Boulder, CO 80304-0564

Call (413) 570-0534 Map

Mailing address

PO Box 725
Lyons, CO 80540-0725

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLSW.0009920730 (CO)
Clinical Social Worker Primary 1041C0700XCSW.09924311 (CO)

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 1174908099

Johanna Catherine Black, MSW, LCSW's National Provider Identifier is 1174908099, issued on Jul 21, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, CO. The record was last updated on Sep 13, 2018.