Individual provider · Type 1 NPI

Bonnie Black, LCSW

Clinical Social Worker · Red Bank, NJ

NPI number 1205508223 Active

Practice location

76 Stephenville Blvd
Red Bank, NJ 07701-6249

Mailing address

PO Box 144
Red Bank, NJ 07701-0144

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05857100 (NJ)

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 1205508223

Bonnie Black, LCSW's National Provider Identifier is 1205508223, issued on Sep 28, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Red Bank, NJ. The record was last updated on Sep 28, 2021.