Active NPIIndividual provider

Shaindy Black, LSW

Social Worker, Clinical in Medford, New Jersey

NPI Number1316792773
Practice location
Center For Counseling And Education, 66 N Main Street, Medford, NJ 08055-2719
Fax
—
Last updated
April 19, 2024

Shaindy Black is a Social Worker, Clinical based in Medford, NJ. Shaindy Black practices in Medford, NJ and has the professional credentials of LSW. The NPI Number for Shaindy Black is 1316792773 and holds a License No. 44SL06947300 (NJ). The current practice location address for Shaindy Black is Center For Counseling And Education, 66 N Main Street, Medford, NJ 08055-2719 and can be reached out via phone at 856-985-9091.

Provider Profile Details

NPI Number
1316792773
Provider Name
Shaindy Black
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
Center For Counseling And Education, 66 N Main Street, Medford, NJ 08055-2719
Phone Number
856-985-9091
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
April 19, 2024
Last Update Date
April 19, 2024
Certification Date
April 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Center For Counseling And Education
66 N Main Street
Medford, NJ 08055-2719
Zip
08055-2719
Phone Number
856-985-9091
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
2230 Route 70 W Ste 2 #1394
Cherry Hill, NJ 08002-3338
City
Cherry Hill
State
NJ
Zip
08002-3338

License Information

License Number
44SL06947300
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 Shaindy Black, LSW?

The NPI number of Shaindy Black, LSW is 1316792773. It was assigned on April 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Shaindy Black, LSW?

Shaindy Black, LSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL06947300.

Where does Shaindy Black, LSW practice?

The practice location is Center For Counseling And Education, 66 N Main Street, Medford, NJ 08055-2719. The office can be reached at 856-985-9091 (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 1316792773 directly on the NPPES registry website.

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