Individual provider · Type 1 NPI

Katherine L. Black, LCSW

Clinical Social Worker · Orange Park, FL

NPI number 1700342540 Active

Practice location

1543 Kingsley Ave Ste 14
Orange Park, FL 32073-4570

Fax (904) 269-0870

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW15161 (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 1700342540

Katherine L. Black, LCSW's National Provider Identifier is 1700342540, issued on Feb 18, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Orange Park, FL. The record was last updated on Feb 18, 2019.