# NANCY A BLACK CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104164912
- **Authorized official:** NANCY BLACK (LICSW)
- **Authorized official phone:** (401) 683-6210

## Contact information

- **Practice address:** 2444 E MAIN RD, PORTSMOUTH, RI 02871-4025
- **Practice address phone:** (401) 683-6210
- **Practice address fax:** (401) 683-6212
- **Mailing address:** 2444 E MAIN RD, PORTSMOUTH, RI 02871-4025
- **Mailing address phone:** (401) 683-6210
- **Mailing address fax:** (401) 683-6212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | ISW000576 | RI | Yes |

## Other

- **Enumeration date:** 01/29/2013
- **Last updated:** 01/29/2013