| Nancy A Black Consulting Llc | |
|
2444 E Main Rd Portsmouth RI 02871-4025 | |
| (401) 683-6210 | |
| (401) 683-6212 |
| Full Name | Nancy A Black Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2444 E Main Rd, Portsmouth, Rhode Island |
| Authorized Official Name and Position | Nancy Black (LICSW) |
| Authorized Official Contact | 4016836210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy A Black Consulting Llc 2444 E Main Rd Portsmouth RI 02871-4025 Ph: (401) 683-6210 | Nancy A Black Consulting Llc 2444 E Main Rd Portsmouth RI 02871-4025 Ph: (401) 683-6210 |
| NPI Number | 1104164912 |
|---|---|
| Provider Enumeration Date | 01/29/2013 |
| Last Update Date | 01/29/2013 |
| Medicare PECOS PAC ID | 3870732902 |
|---|---|
| Medicare Enrollment ID | O20130620000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104164912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW000576 (Rhode Island) | Primary |
| Provider Name | Nancy A Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235234519 PECOS PAC ID: 0345294328 Enrollment ID: I20050311000872 |
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