Individual provider · Type 1 NPI

Jerrilyn Black, LICSW

Clinical Social Worker · Washington, DC

NPI number 1831758374 Active

Practice location

6645 Georgia Ave NW Apt 201
Washington, DC 20012-2539

Mailing address

3000 Connecticut Ave NW Ste 137
Washington, DC 20008-2549

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC50081921 (DC)

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 1831758374

Jerrilyn Black, LICSW's National Provider Identifier is 1831758374, issued on Jun 9, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, DC. The record was last updated on Jan 19, 2020.