Individual provider · Type 1 NPI

Sandra E. Black, LCSW

Clinical Social Worker · Port Washington, WI

NPI number 1407803489 Active

Practice location

1317 W Grand Ave
Port Washington, WI 53074-2075

Fax (262) 284-5907

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1607-123 (WI)

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 1407803489

Sandra E. Black, LCSW's National Provider Identifier is 1407803489, issued on May 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Washington, WI. The record was last updated on Oct 18, 2007.