Individual provider · Type 1 NPI

Kytra Black, LCSW

Clinical Social Worker · New York, NY

NPI number 1447527726 Active

Practice location

1250 Broadway, 4th Floor - Spark Program/hospice & Palliative Care
New York, NY 10001-3701

Fax (212) 290-0158

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X077861-1 (NY)
Clinical Social Worker 1041C0700XSW9713 (FL)

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 1447527726

Kytra Black, LCSW's National Provider Identifier is 1447527726, issued on Nov 30, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Nov 30, 2011.