Individual
MRS. MELISSA L. BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2200 PASEO VERDE PKWY STE 190, HENDERSON, NV 89052-2703
(573) 330-9919
Mailing address
2200 PASEO VERDE PKWY STE 190, HENDERSON, NV 89052-2703
(573) 330-9919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005000353
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497360107
—
MO
Enumeration date
08/16/2006
Last updated
04/30/2026
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