MS. KATHLEEN COLE BLACK (NPI# 1902923071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902923071 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN COLE BLACK |
| Credential | LBSW |
| Practice Address |
7737 Kercheval St Room 115 Detroit MI 48214-2437 |
| Mailing Address |
703 Marlborough St Detroit MI 48215-2950 |
| Practice Telephone | 3139251135 |
| Practice Fax Number | 3139252508 |
| Mailing Telephone | 3138243230 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | L1091543 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609296599 | Kathleen Casey Black | Nurse Anesthetist, Certified Registered | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2014-04-18 |
| 1558575274 | Kathleen Marie Black | Physical Therapist | 1000 N Shenandoah Ave, Front Royal, VA 22630-3547 | 2007-05-10 |
| 1558379651 | Kathleen R Black | Dentist | 1415 California St, Houston, TX 77006-2602 | 2006-08-04 |
| Street Address |
7737 KERCHEVAL ST ROOM 115 |
| City | DETROIT |
| State | MI |
| Zip Code | 48214-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497788152 | Trinity Medical Clinic | Internal Medicine | 7737 Kercheval St, Suite 219, Detroit, MI 48214-2437 | 2006-07-08 |
| 1891812202 | Michael David Moore | Counselor | 7737 Kercheval St, Detroit, MI 48214-2437 | 2007-03-23 |
| 1811026883 | Reach Project, Inc. | Student in an Organized Health Care Education/Training Program | 7737 Kercheval St, Detroit, MI 48214-2437 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042325 | Tamara Wesley | Registered Nurse | 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 | 2018-02-06 |
| 1720534381 | Birth Beautiful Detroit | Clinic/Center | 1086 Baldwin, Detroit, MI 48214 | 2016-09-01 |
| 1225402886 | Steven Doyle Whatley I | Counselor | 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 | 2015-11-19 |
| 1255587945 | Andrew Avery | Internal Medicine | 7733 East Jefferson Ave, Detroit, MI 48214 | 2008-08-13 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1629299433 | Alan R Faber Jr. | Dentist | 8191 E Jefferson Ave, Detroit, MI 48214 | 2007-05-01 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1053439737 | Geraldine Etella Davis | Counselor | 3840 Fairview St., Detroit, MI 48214 | 2007-03-27 |
| 1639203482 | Detroit-macomb Hospital Corporation | Advanced Practice Midwife | 7815 E. Jefferson, Detroit, MI 48214 | 2007-03-15 |
| 1033275441 | Anesha Amor Rouse | Physical Therapy Assistant | 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 | 2006-12-29 |
| Find all providers in zip 48214 | ||||
| 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 |
|---|---|---|---|---|
| 1497363758 | Ana H Calandrino | Social Worker | 155 W Congress St Ste 206, Detroit, MI 48226-3200 | 2020-07-22 |
| 1295352532 | Laysha Cooks | Social Worker | 18638 Hartwell St, Detroit, MI 48235-1345 | 2020-07-02 |
| 1851922892 | Celeste Gaskin | Social Worker | 9103 Longworth St, Detroit, MI 48209-1717 | 2020-01-29 |
| 1619526100 | Diamond Adult Foster and Respite Homes LLC | Social Worker | 8028 Middlepoint St, Detroit, MI 48204-3132 | 2019-09-06 |
| 1083269922 | Amelia Mariah Allen | Social Worker | 13511 Archdale St, Detroit, MI 48227-1335 | 2019-08-07 |
| 1942853023 | Eshe Institute LLC | Social Worker | 19600 Grand River Ave, Detroit, MI 48223-1280 | 2019-07-18 |
| 1013569920 | Tatyana Aubrey Pryor | Social Worker | 6821 Medbury St, Detroit, MI 48211-3317 | 2019-07-10 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1902464969 | Michanda Gant | Social Worker | 18244 W Mcnichols Rd, Detroit, MI 48219-4163 | 2019-06-04 |
| Find all providers in DETROIT | ||||
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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.