Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
KELLY MARIE BLACK
Active
Individual
KELLY MARIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.0900906
OH
1041C0700X
Clinical Social Worker
Primary
I.1700442
OH
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399867
—
OH
01
—
I.1700442
LICENSED INDEPENDENT SOCIAL WORKER
OH
Enumeration date
06/28/2010
Last updated
01/12/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up