Individual
ALEXANDER JERROD BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACSW
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 233-0425
Mailing address
4047 HALLDALE AVE, LOS ANGELES, CA 90062-1851
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
114171
CA
Other
Enumeration date
03/21/2023
Last updated
05/27/2025
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