Individual provider · Type 1 NPI

Lance H. Black, LBSW

School Social Worker · Aztec, NM

NPI number 1497632095 Active

Practice location

455 N Light Plant Rd
Aztec, NM 87410-1517

Call (505) 334-6102 Map

Mailing address

4 Road 3459
Flora Vista, NM 87415-9667

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200XSWB-2025-0657 (NM)

School Social Worker: Definition to come...

4 other providers at this address

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About NPI 1497632095

Lance H. Black, LBSW's National Provider Identifier is 1497632095, issued on Aug 18, 2025. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Aztec, NM. The record was last updated on Aug 18, 2025.