Individual provider · Type 1 NPI

Nicole Black, LCSW

Clinical Social Worker · Columbia, MO

NPI number 1942989645 Active

Practice location

5505 Carrick Ct
Columbia, MO 65203-5156

Other practice locations

  • 1 Hospital Dr, Columbia, MO 65201-5276 · (573) 228-1922

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2025034325 (MO)

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 1942989645

Nicole Black, LCSW's National Provider Identifier is 1942989645, issued on Jul 12, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbia, MO. The record was last updated on Sep 11, 2025.