# DONNA L BLACK LCSW PC

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

## Provider details

- **NPI number:** 1104901636
- **Authorized official:** DONNA L BLACK LCSW CAC III (PRESIDENT)
- **Authorized official phone:** (303) 691-3550

## Contact information

- **Practice address:** 1720 S BELLAIRE ST, SUITE 906, DENVER, CO 80222-4333
- **Practice address phone:** (303) 691-3550
- **Practice address fax:** (303) 777-7651
- **Mailing address:** 1720 S BELLAIRE ST, SUITE 906, DENVER, CO 80222-4333
- **Mailing address phone:** (303) 691-3550
- **Mailing address fax:** (303) 777-7651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 3184 | CO | Yes |
| 1041C0700X | Clinical Social Worker | 989917 | CO | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 09/11/2025