Individual provider · Type 1 NPI

Susan L. Black, MSW

Clinical Social Worker · Bolling Afb, DC

NPI number 1568430528 Active

Practice location

238 Brookley Ave, 11th Medical Group/sgoh
Bolling Afb, DC 20032

Fax (202) 404-7366

Mailing address

5007 Edenvale Ct
Waldorf, MD 20602-3189

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X5364 (SC)
Clinical Social Worker Primary 1041C0700X6383 (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 1568430528

Susan L. Black, MSW's National Provider Identifier is 1568430528, issued on Mar 8, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bolling Afb, DC. The record was last updated on Jul 13, 2026.