Individual provider · Type 1 NPI

Leon B. Black, MSW LCSW CCBT CPTP

Clinical Social Worker · Rockford, IL

NPI number 1790793198 Active

Practice location

7210 East State Street, Suite 102
Rockford, IL 61108-1201

Call (815) 877-8567 Map

Fax (815) 877-8567

Mailing address

7210 E State St Ste 102
Rockford, IL 61108-2636

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.005967 (IL)

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 1790793198

Leon B. Black, MSW LCSW CCBT CPTP's National Provider Identifier is 1790793198, issued on Aug 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Sep 29, 2026.