Individual provider · Type 1 NPI

Stephen Leon Black, SUDCC-III

Adult Companion · Grass Valley, CA

NPI number 1962848093 Active

Practice location

500 Crown Point Cir
Grass Valley, CA 95945-9561

Call (530) 273-5440 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X156325 I (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400X7537 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XB1006171257 (CA)
Adult Companion Primary 372600000XNone listed

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

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About NPI 1962848093

Stephen Leon Black, SUDCC-III's National Provider Identifier is 1962848093, issued on May 15, 2013. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Grass Valley, CA. The record was last updated on Sep 25, 2026.