Individual provider · Type 1 NPI

Charles Joseph Black, LISW

Clinical Social Worker · Cincinnati, OH

NPI number 1730111378 Active

Practice location

4355 Ferguson Dr, Suite 270
Cincinnati, OH 45245-5136

Call (513) 943-3680 Map

Fax (513) 943-3699

Mailing address

5893 Thorny Rdg
Milford, OH 45150-5804

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-4820 (OH)

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 1730111378

Charles Joseph Black, LISW's National Provider Identifier is 1730111378, issued on Jul 6, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cincinnati, OH. The record was last updated on Jul 8, 2007.