SUSAN L BLACK (NPI# 1568430528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568430528 |
| Entity Type | Individual |
| Full Name | SUSAN L BLACK |
| Credential | MSW |
| Practice Address |
238 Brookley Ave 11th Medical Group/sgoh Bolling Afb DC 20032 |
| Mailing Address |
5007 Edenvale Ct Waldorf MD 20602-3189 |
| Practice Telephone | 2024044242 |
| Practice Fax Number | 2024047366 |
| Mailing Telephone | 2024044242 |
| Mailing Fax Number | 2024047366 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1041C0700X |
Social Worker Specialization: Clinical |
6383 | FL | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
5364 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356813687 | Susan Elizabeth Black | Licensed Vocational Nurse | 3379 S Forty Dr, Weatherford, TX 76085-8222 | 2018-12-27 |
| 1669794798 | Susan Black | Family Medicine | 12 Muskegon Shore Rd, Harpswell, ME 04079-3792 | 2010-02-16 |
| 1528213451 | Susan Ann Black | Occupational Therapist | 4408 W Walnut St, Apt/suite, Rogers, AR 72756-9526 | 2008-11-19 |
| 1780834549 | Susan G Black | Nurse Practitioner | 227 Hospital Dr Ste 1, Everett, PA 15537-7019 | 2008-09-29 |
| 1366599565 | Susan E. Black Sr. | Speech-Language Pathologist | 3420 Lakeview Pkwy, Locust Grove, VA 22508-5664 | 2007-01-03 |
| 1497810386 | Susan Ann Black | Psychiatry & Neurology | 1504 Galena St, Aurora, CO 80010-2219 | 2006-12-22 |
| 1598862575 | Susan Esther Black | Marriage & Family Therapist | 2 Spring Ln, Fairfield, CA 94534-1429 | 2006-09-20 |
| 1578935409 | Susan Black | Behavioral Analyst | 13017 Artesia Blvd Ste D134, Cerritos, CA 90703-1385 | 2015-10-30 |
| 1003175183 | Susan Easton Black | Counselor | 1190 N 900 E, Provo, UT 84604-3536 | 2012-05-10 |
| 1073896783 | Susan Black | Pharmacist | 326 W Lincoln Ave, Fergus Falls, MN 56537-2027 | 2011-09-20 |
| Street Address |
238 BROOKLEY AVE 11TH MEDICAL GROUP/SGOH |
| City | BOLLING AFB |
| State | DC |
| Zip Code | 20032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776880 | James R Abbott | Family Medicine | 238 Brookley Ave, Bolling Afb, DC 20332-0001 | 2005-08-10 |
| 1467785790 | David Brian Sowers | Military Health Care Provider | 238 Brookley Ave, Bolling Afb, DC 20032 | 2009-09-18 |
| 1023245560 | Chad Michael Smith | Military Health Care Provider | 238 Brookley Ave, Bolling Afb, DC 20032 | 2009-06-11 |
| 1417094962 | Jose Enrique Ibanez-pabon | Dentist | 238 Brookley Ave, Bolling Afb, DC 20332-0701 | 2007-01-31 |
| 1679626014 | David G Ray | Psychologist | 238 Brookley Ave, Bolling Afb, DC 20032-7704 | 2007-01-19 |
| 1871657874 | Cynthian Wilhelmy | Family Medicine | 238 Brookley Ave, 579 Mdg, Bolling Afb, DC 20032 | 2006-12-21 |
| 1023170263 | Alan T Smith | Dentist | 238 Brookley Ave, Bolling Afb, DC 20332 | 2006-12-14 |
| 1972516219 | Robin Christina Abbott | Physician Assistant | 238 Brookley Ave, C/o Leslie Pierson, Bolling Afb, DC 20032 | 2006-08-15 |
| 1427036193 | Kurtis Lee Dean | Physician Assistant | 238 Brookley Ave, Bolling Afb, DC 20332-0001 | 2006-01-04 |
| 1114917861 | George J Gerdts | Dentist | 238 Brookley Ave, Bolling Afb, DC 20332-0001 | 2005-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649586355 | Haley Michelle Watson | Social Worker | 238 Brookley Ave, Bldg 1300, Bolling Afb, DC 20032-0101 | 2010-08-19 |
| 1669566261 | Susan G Eckberg | Social Worker | 238 Brookley Avenue, Bldg 1300, Ste 259, Bolling Afb, DC 20032-0101 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254769 | Ayana E Thompson | Social Worker | 706 Burns St Se, Washington, DC 20019-4913 | 2020-10-27 |
| 1265030282 | Amy Killy | Social Worker | 5402 Connecticut Ave Nw Ste 102, Washington, DC 20015-2830 | 2020-10-12 |
| 1144828385 | Ann Morrison | Social Worker | 5333 Connecticut Ave Nw Apt 528, Washington, DC 20015-1895 | 2020-10-10 |
| 1225645591 | Rs Davis Health & Wellness, LLC | Social Worker | 3200 Martin Luther King Jr Ave Se, Washington, DC 20032-1538 | 2020-09-30 |
| 1114534716 | Beth Anne Henson | Social Worker | 2717 Unicorn Ln Nw, Washington, DC 20015-2233 | 2020-09-28 |
| 1588271407 | Andrew Thomas | Social Worker | 801 Pa Ave Se, Washington, DC 20003-2167 | 2020-09-24 |
| 1043826324 | Wellness Reset Solutions LLC | Social Worker | 255 Carroll St Nw Apt 552, Washington, DC 20012-2093 | 2020-09-21 |
| 1487266995 | Martha Johnson | Social Worker | 1555 Connective Ave Nw, #500w, Washington, DC 20036 | 2020-08-18 |
| 1538779863 | Moore Therapeutic and Consulting Services | Social Worker | 1600 Maryland Ave Ne Apt 257, Washington, DC 20002-7662 | 2020-08-02 |
| 1992313266 | Paula Nicole Thomason | Social Worker | 4407 2nd St Ne Apt 2, Washington, DC 20011-5142 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | BOLLING AFB |
| Zip Code | 20032 |
Please comment or provide details below to improve the information on SUSAN L BLACK.
| 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.