Individual
SUZANNE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MSW
Contact information
Practice address
100 LAFAYETTE ST, PAWTUCKET, RI 02860-6008
(401) 421-0355
(401) 475-1591
Mailing address
100 LAFAYETTE ST, PAWTUCKET, RI 02860-6008
(401) 421-0355
(401) 475-1591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00189
RI
1041C0700X
Clinical Social Worker
ISW00255
RI
Other
Enumeration date
12/28/2006
Last updated
09/11/2025
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