KATRINA BLACK (NPI# 1457892077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457892077 |
| Entity Type | Individual |
| Full Name | KATRINA BLACK |
| Credential | MSW, APSW |
| Practice Address |
3090 N 53rd St Milwaukee WI 53210-1617 |
| Practice Telephone | 4143226048 |
| Practice Fax Number | 4142102222 |
| Mailing Telephone | 4143226048 |
| Mailing Fax Number | 4142102222 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 130558 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100054036 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801194972 | Katrina D. Black | Physician Assistant | 205 Shirley Ave, Douglas, GA 31533-2327 | 2011-03-14 |
| Street Address |
3090 N 53RD ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53210-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578540803 | Eric T Decker | Speech-Language Pathologist | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2005-12-28 |
| 1235776733 | Lakshmi Karri | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-12-03 |
| 1235772237 | Shemika J Green | Counselor | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-22 |
| 1063055192 | Jerome Allen Larson | Peer Specialist | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-22 |
| 1982247011 | Mary Jo Joyce | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-22 |
| 1982246971 | Jamia Bryant | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-11 |
| 1811538358 | Kayla Danielle Stevenson | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-07 |
| 1699316000 | Bianca Johnson | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-07 |
| 1104467752 | Loriann Thomas | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-04 |
| 1336780899 | Avina Richards | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1922572312 | Walter's Second Chance of Milwaukee, LLC. | In Home Supportive Care | 3043 N. 29th Street, Milwaukee, WI 53210 | 2019-01-18 |
| 1407353469 | Angie F Caballero | Assisted Living Facility | 5918 N 62nd Street, Milwaukee, WI 53210 | 2018-04-06 |
| 1689182636 | Kimberly Casey | Counselor | 5325 W.burleigh, Milwaukee, WI 53210 | 2018-01-11 |
| 1336663640 | Daron Mosby | Counselor | 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 | 2017-07-28 |
| 1881117174 | Advance Home Care, LLC | In Home Supportive Care | 6001 W Center St Ste 98ll, Milwaukee, WI 53210 | 2017-07-19 |
| 1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
| 1447625264 | Kimberly Beckham | Registered Nurse | 3040 N 40th Street, Milwaukee, WI 53210 | 2015-12-04 |
| 1033595319 | Wisconsin Lutheran Child & Family Service Inc. | Social Worker | 207 North Sherman Blvd, Milwaukee, WI 53210 | 2015-08-10 |
| 1346633112 | Quiana Davis | Licensed Practical Nurse | 2478 North 34th Street, Milwaukee, WI 53210 | 2015-03-18 |
| Find all providers in zip 53210 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734157 | Zhaneane Johnson | Social Worker | 4957 N 55th St, Milwaukee, WI 53218-4232 | 2020-06-15 |
| 1083247191 | Kerry Kathleen Marley | Social Worker | 1109a S 109th St, Milwaukee, WI 53214-2310 | 2020-02-17 |
| 1578105508 | Briana C Patton | Social Worker | 5320 N Lovers Lane Rd Apt 235, Milwaukee, WI 53225-3030 | 2019-10-10 |
| 1194286294 | 1-9 Youth & Family Services | Social Worker | 2201 N Mlk Dr, Milwaukee, WI 53212-3125 | 2019-03-29 |
| 1417417759 | Nkauj Yi Moua | Social Worker | 9345 W Clovernook St, Milwaukee, WI 53224-5210 | 2019-03-22 |
| 1952876476 | Erik Michael Stenglein | Social Worker | 5000 W National Ave Rm 4522, Milwaukee, WI 53295-0001 | 2018-10-11 |
| 1215417100 | Care Connect, Inc. | Social Worker | 4319 N 76th St Ste 10, Milwaukee, WI 53222-2056 | 2018-08-20 |
| 1467931931 | Monica Jean Maniaci | Social Worker | 3225 S New York Ave, Milwaukee, WI 53207-3075 | 2018-08-07 |
| 1184142630 | Sarah Raquel Benitez | Social Worker | 3642 S 35th St, Milwaukee, WI 53221-1004 | 2017-09-05 |
| 1306369202 | Megan Haug | Social Worker | 10201 W Lincoln Ave Ste 106, Milwaukee, WI 53227-2136 | 2017-07-23 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.