Individual
NANCY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00576
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3958-7
BCBS
RI
01
—
406244
BLUECHIP
RI
05
—
9003958
—
RI
Enumeration date
09/13/2006
Last updated
12/19/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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