Active NPIIndividual providerSole proprietor

Bonnie Black, LCSW

Social Worker, Clinical in Red Bank, New Jersey

NPI Number1205508223
Practice location
76 Stephenville Blvd, Red Bank, NJ 07701-6249
Fax
—
Last updated
September 28, 2021

Bonnie Black is a Social Worker, Clinical based in Red Bank, NJ. Bonnie Black practices in Red Bank, NJ and has the professional credentials of LCSW. The NPI Number for Bonnie Black is 1205508223 and holds a License No. 44SC05857100 (NJ). The current practice location address for Bonnie Black is 76 Stephenville Blvd, Red Bank, NJ 07701-6249 and can be reached out via phone at 908-902-0481.

Provider Profile Details

NPI Number
1205508223
Provider Name
Bonnie Black
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
76 Stephenville Blvd, Red Bank, NJ 07701-6249
Phone Number
908-902-0481
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 28, 2021
Last Update Date
September 28, 2021
Certification Date
September 28, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
76 Stephenville Blvd
Red Bank, NJ 07701-6249
Zip
07701-6249
Phone Number
908-902-0481
Red Bank, NJ 07701Get directions →

Provider Business Mailing Address Details

Address
Po Box 144
Red Bank, NJ 07701-0144
City
Red Bank
State
NJ
Zip
07701-0144
Phone Number
732-788-6146

License Information

License Number
44SC05857100
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bonnie Black, LCSW?

The NPI number of Bonnie Black, LCSW is 1205508223. It was assigned on September 28, 2021 and is currently active in the NPPES registry.

What is the specialty of Bonnie Black, LCSW?

Bonnie Black, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05857100.

Where does Bonnie Black, LCSW practice?

The practice location is 76 Stephenville Blvd, Red Bank, NJ 07701-6249. The office can be reached at 908-902-0481 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205508223 directly on the NPPES registry website.

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