Johanna C Black (NPI# 1174908099, PAC ID# 2668716309) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1174908099 |
| PAC ID by PECOS | 2668716309 |
| Professional Enrollment ID | I20181206000611 |
| Full Name | Johanna C Black |
| Organization Legal Name | SPECIALTY COUNSELING AND CONSULTING |
| Address |
4025 Automation Way Unit A2 Fort Collins CO 80525-3447 |
| Phone Number | 3074264798202 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8921311911 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4025 Automation Way, Unit A2, Fort Collins, CO 80525-3447 | 3074264798202 | SPECIALTY COUNSELING AND CONSULTING |
| Organization Legal Name | SPECIALTY COUNSELING AND CONSULTING |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nolan M Vitzthum | Clinical Social Worker | Specialty Counseling and Consulting | 4025 Rawlins St, Cheyenne, WY 82001-1900 |
| Danielle K Matra | Clinical Social Worker | Specialty Counseling and Consulting | 4025 Rawlins St, Cheyenne, WY 82001-1900 |
| Robert J Arias | Clinical Social Worker | Specialty Counseling and Consulting | 4025 Rawlins St, Cheyenne, WY 82001-1900 |
| Denise Mcclellan | Nurse Practitioner | Specialty Counseling and Consulting | 4025 Rawlins St, Cheyenne, WY 82001-1900 |
| Wendy Benedict | Clinical Social Worker | Specialty Counseling and Consulting | 4025 Automation Way, Unit A2, Fort Collins, CO 80525-3447 |
| Kim A Dolan | Nurse Practitioner | Specialty Counseling and Consulting | 4025 Rawlins St, Cheyenne, WY 82001-1900 |
| Sarah J Miller | Clinical Social Worker | Specialty Counseling and Consulting | 4025 Rawlins St, Cheyenne, WY 82001-1900 |
| Street Address |
4025 AUTOMATION WAY UNIT A2 |
| City | FORT COLLINS |
| State | CO |
| Zip | 80525-3447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy Benedict | Clinical Social Worker | Specialty Counseling and Consulting | 4025 Automation Way, Unit A2, Fort Collins, CO 80525-3447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corrine M Layton | Occupational Therapy | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Corey Byron Bernhardt | Optometry | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Kursten K Von Koss | Occupational Therapy | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Megan Baca | Optometry | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Lisa Marie Faust | Occupational Therapy | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| David H Kisling | Optometry | Ensight Skills Center, Inc. | 1740 S College Ave, Fort Collins, CO 80525-1009 |
| Silvia Sorensen | Physical Therapy | 1325 E Prospect Rd, Fort Collins, CO 80525-1115 | |
| James Haas | Chiropractic | 1337 E Prospect Rd, Ft Collins, CO 80525-1115 | |
| Greg L Crawford | Chiropractic | 1337 E Prospect Rd, Fort Collins, CO 80525-1115 | |
| Steven L Kaufman | General Surgery | 1136 E Stuart St, Suite 4102, Fort Collins, CO 80525-1173 | |
| Find all physicians in zip 80525 | |||
| City | FORT COLLINS |
| Zip Code | 80525 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FORT COLLINS + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Johanna C Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.