person
Mr. Nicholas J. Black, LMSW
School Social Worker in Moriarty, New Mexico
NPI 1184764698

Nicholas J. Black is a School Social Worker based in Moriarty, NM and is specialized in School. Nicholas J. Black practices in Moriarty, NM and has the professional credentials of LMSW. The NPI Number for Nicholas J. Black is 1184764698 and holds a License No. M-04746 (New Mexico).

The current practice location address for Nicholas J. Black is 350 Mcnabb Rd, Moriarty, NM and can be reached out via phone at 505-638-5491 and via fax at 505-638-5571.

Location: 350 Mcnabb Rd, Moriarty, NM, 87035-1395
person
Provider Profile Details
NPI Number
1184764698
Provider Name
Nicholas J. Black
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
350 Mcnabb Rd, Moriarty, NM, 87035-1395
Phone Number
505-638-5491
Fax Number
505-638-5571
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6281583 05 NM
institution
Provider Business Practice Location Address Details
Address
350 Mcnabb Rd
City
State
Zip
87035
Phone Number
505-638-5491
Fax Number
505-638-5571
person
Provider Business Mailing Address Details
Address
350 Mcnabb Rd
City
State
Zip
87035
Phone Number
505-638-5491
Fax Number
505-638-5571
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
License No.
M-04746 (New Mexico)
Definition
Definition to come...
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