Individual provider · Type 1 NPI
Kenyatta Black
Clinical Social Worker · Evergreen Park, IL
Practice location
9144 S Utica Ave
Evergreen Park, IL 60805-1721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.028310 (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 1891505442
Kenyatta Black's National Provider Identifier is 1891505442, issued on Jan 7, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evergreen Park, IL. The record was last updated on Jan 7, 2025.