Individual
MR. JOEL M BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3324 RUE ROYALE ST, SAINT CHARLES, MO 63301-8321
(314) 643-6172
Mailing address
3324 RUE ROYALE ST, SAINT CHARLES, MO 63301-8321
(314) 643-6172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.021964
IL
1041C0700X
Clinical Social Worker
Primary
2019040488
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490074023
—
MO
Enumeration date
06/08/2019
Last updated
09/12/2025
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