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Mr. William Jesse Black, LICSW,LADC,BCD
Addiction (Substance Use Disorder) Counselor in Barstow, California
NPI 1972716314

William Jesse Black is an Addiction (Substance Use Disorder) Counselor based in Barstow, CA and is specialized in Addiction (Substance Use Disorder). William Jesse Black practices in Barstow, CA and has the professional credentials of LICSW,LADC,BCD. The NPI Number for William Jesse Black is 1972716314 and holds a License No. 4476 (California).

The current practice location address for William Jesse Black is 271 Cypress Drive, Barstow, CA and can be reached out via phone at 507-732-4136.

Location: 271 Cypress Drive, Barstow, CA, 92311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972716314
Provider Name
William Jesse Black
Credential
LICSW,LADC,BCD
Provider Entity Type
Individual
Gender
Male
Address
271 Cypress Drive, Barstow, CA, 92311
Phone Number
507-732-4136
Fax Number
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1972716314 05 MN
institution
Provider Business Practice Location Address Details
Address
271 Cypress Drive
City
Barstow
State
California
Zip
92311
Phone Number
507-732-4136
Fax Number
person
Provider Business Mailing Address Details
Address
271 Cypress Drive
City
Barstow
State
California
Zip
92311
Phone Number
507-732-4136
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
300555 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
4476 (Minnesota)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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