Individual provider · Type 1 NPI

Jacqueline Black, LMHC

Clinical Social Worker · Indianapolis, IN

NPI number 1457912420 Active

Practice location

1030 E County Line Rd Ste C1
Indianapolis, IN 46227-2998

Call (317) 497-6290 Map

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Other practice locations

  • 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 · (317) 621-7740

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X39003454A (IN)

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 1457912420

Jacqueline Black, LMHC's National Provider Identifier is 1457912420, issued on Jun 21, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on May 6, 2025.