Darryl S Black, LPC, LCADC is a
Counselor - Professional based in Little Ferry, New Jersey. Darryl S Black is licensed to practice in New Jersey (license number 37PC00318700) and his current practice location is
3 Mccabe Ct, Little Ferry, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 440-2998.
NPI number for Darryl S Black is 1780889667 and his current mailing address is 3 Mccabe Ct, Little Ferry, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780889667.
Healthcare Provider's Profile
| Full Name | Darryl S Black |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 3 Mccabe Ct, Little Ferry, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780889667
- Provider Enumeration Date: 06/19/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Darryl S Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780889667 | NPI | - | NPPES |
| 356690 | Other | NJ | MENTAL HEALTH PRACTITIONE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00026500 (New Jersey) | Primary |
| 101YP2500X | Counselor - Professional | 37PC00318700 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Darryl S Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Darryl S Black, LPC, LCADC
3 Mccabe Ct,
Little Ferry, NJ 07643-2113
Ph: (201) 440-2998 | Darryl S Black, LPC, LCADC
3 Mccabe Ct,
Little Ferry, NJ 07643-2113
Ph: (201) 440-2998 |
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