Stacey Diane Black in Hagerstown - Clinical
Stacey Diane Black - NPI 1154332013
Stacey Diane Black is a Clinical in Hagerstown, Maryland. Stacey Diane Black practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacey Diane Black is 1154332013. The last update date is 2007-07-09.
Stacey Diane Black's current location address is 24 N Walnut St, Hagerstown, Maryland. You can contact this provider via phone number 3017667600 and fax number 3017974976. The mailing address for Stacey Diane Black is 24 N Walnut St, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Diane Black |
|---|---|
| Address | 24 N Walnut St, Hagerstown, Maryland |
| Phone Number | 3017667600 |
| Fax Number | 3017974976 |
| Sole Proprietor | N |
| Credentials | LCSW-C |
NPI Number Detail
| NPI Number | 1154332013 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 24 N Walnut St |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 217404738 |
| Phone Number | 3017667600 |
| Fax Number | 3017974976 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 9944 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121798 | MD | JOHN HOPKINS HEALTHCARE | |
| 614441-01 | MD | BCBS | |
| PHCS 2233929 | MD | PHCS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stacey Diane Black by the Centers for Medicare & Medicaid Services?
The Stacey Diane Black has been assigned the NPI (National Provider Identifier) 1154332013 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Stacey Diane Black is geographically located?
The Stacey Diane Black is physically situated at the following location: 24 N Walnut St, Hagerstown, MD, 217404738.
What is Stacey Diane Black's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stacey Diane Black is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Stacey Diane Black receive the assignment of its 1154332013 from the Centers for Medicare & Medicaid Services?
The Stacey Diane Black was issued its 1154332013 by the Centers for Medicare & Medicaid Services on 2006-08-10.
As of what date were the details pertaining to Stacey Diane Black last refreshed?
The information related to the Stacey Diane Black, including its address, specialty, and other relevant details, was last updated on 2007-07-09.