Agnes Black, LCSW
Social Worker, Clinical in Hartford, Connecticut
1730332487- Practice location
- 500 Vine St, Capitol Region Mental Health Center, Hartford, CT 06114
- Phone
- 860-297-0905
- Fax
- 860-297-0931
- Last updated
- October 28, 2008
Agnes Black is a Social Worker, Clinical based in Hartford, CT. Agnes Black practices in Hartford, CT and has the professional credentials of LCSW. The NPI Number for Agnes Black is 1730332487 and holds a License No. 231744423 (CT). The current practice location address for Agnes Black is 500 Vine St, Capitol Region Mental Health Center, Hartford, CT 06114 and can be reached out via phone at 860-297-0905 and via fax at 860-297-0931.
Provider Profile Details
- NPI Number
- 1730332487
- Provider Name
- Agnes Black
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 500 Vine St, Capitol Region Mental Health Center, Hartford, CT 06114
- Phone Number
- 860-297-0905
- Fax Number
- 860-297-0931
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 28, 2008
- Last Update Date
- October 28, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 500 Vine St
Capitol Region Mental Health Center
Hartford, CT 06114 - City
- Hartford
- State
- Connecticut
- Zip
- 06114
- Phone Number
- 860-297-0905
- Fax Number
- 860-297-0931
Provider Business Mailing Address Details
- Address
- 500 Vine Street
Human Resource
Hartford, CT 06114 - City
- Hartford
- State
- CT
- Zip
- 06114
- Phone Number
- 860-297-0905
- Fax Number
- 860-297-0931
License Information
- License Number
- 231744423
- License State
- CT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Hartford, CT
View all Social Worker, Clinical providers in Hartford →- A Mindful Path, LLCSocial Worker, Clinical · NPI 1770724379
- A Minds Journey LLCSocial Worker, Clinical · NPI 1336781806
- Abigail FaceySocial Worker, Clinical · NPI 1891537841
- Abundant Life CenterSocial Worker, Clinical · NPI 1174759963
- Adam T Sola, LCSWSocial Worker, Clinical · NPI 1215570635
- Adelante Clinical ServicesSocial Worker, Clinical · NPI 1457896250
Frequently Asked Questions
What is the NPI number of Agnes Black, LCSW?
The NPI number of Agnes Black, LCSW is 1730332487. It was assigned on October 28, 2008 and is currently active in the NPPES registry.
What is the specialty of Agnes Black, LCSW?
Agnes Black, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 231744423.
Where does Agnes Black, LCSW practice?
The practice location is 500 Vine St, Capitol Region Mental Health Center, Hartford, CT 06114. The office can be reached at 860-297-0905 (phone) or 860-297-0931 (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 1730332487 directly on the NPPES registry website.