Active NPIIndividual providerSole proprietor

Ms. Rhonda L Black, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1538214176
Practice location
84 High St, Suite 2A, Medford, MA 02155-3844
Fax
781-395-2909
Last updated
February 10, 2016

Rhonda Lee Black is a Social Worker, Clinical based in Medford, MA. Rhonda Lee Black practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Rhonda Lee Black is 1538214176 and holds a License No. 107094 (MA). The current practice location address for Rhonda Lee Black is 84 High St, Suite 2A, Medford, MA 02155-3844 and can be reached out via phone at 781-393-0009 and via fax at 781-395-2909.

Provider Profile Details

NPI Number
1538214176
Provider Name
Rhonda Lee Black
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
84 High St, Suite 2A, Medford, MA 02155-3844
Phone Number
781-393-0009
Fax Number
781-395-2909
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 24, 2007
Last Update Date
February 10, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
84 High St
Suite 2A
Medford, MA 02155-3844
Zip
02155-3844
Phone Number
781-393-0009
Fax Number
781-395-2909
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
84 High St
Ste 2A
Medford, MA 02155-3844
City
Medford
State
MA
Zip
02155-3844
Phone Number
781-862-4099
Fax Number
781-395-2909

License Information

License Number
107094
License State
MA
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 Ms. Rhonda L Black, LICSW?

The NPI number of Ms. Rhonda L Black, LICSW is 1538214176. It was assigned on January 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Rhonda L Black, LICSW?

Ms. Rhonda L Black, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 107094.

Where does Ms. Rhonda L Black, LICSW practice?

The practice location is 84 High St, Suite 2A, Medford, MA 02155-3844. The office can be reached at 781-393-0009 (phone) or 781-395-2909 (fax).

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 1538214176 directly on the NPPES registry website.

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