Individual
RACHEL BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
1101 PENNSYLVANIA AVE NW SUITE 300, WASHINGTON, DC 20004
(202) 998-2089
Mailing address
1101 PENNSYLVANIA AVE NW STE 300, WASHINGTON, DC 20004-2582
(202) 998-2089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103296
NY
1041C0700X
Clinical Social Worker
093617
NY
1041C0700X
Clinical Social Worker
Primary
LC200001999
DC
Other
Enumeration date
06/10/2019
Last updated
02/01/2023
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