Melissa L. Black is a Clinical in Farmington, Missouri. Melissa L. Black practices all healthcare services and medical treatments related to Clinical. The NPI Number for Melissa L. Black is 1053424770. The last update date is 2007-07-08.
Melissa L. Black's current location address is 118 West Pine Plaza, Farmington, Missouri. You can contact this provider via phone number 5737010330 and fax number 5737010330. The mailing address for Melissa L. Black is 118 West Pine Plaza, Farmington, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa L. Black |
|---|---|
| Address | 118 West Pine Plaza, Farmington, Missouri |
| Phone Number | 5737010330 |
| Fax Number | 5737010330 |
| Sole Proprietor | Y |
| Credentials | MSW/LCSW |
NPI Number Detail
| NPI Number | 1053424770 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 118 West Pine Plaza |
|---|---|
| City | Farmington |
| State | Missouri (MO) |
| Post Code | 63640 |
| Phone Number | 5737010330 |
| Fax Number | 5737010330 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2005000353 |
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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 |
|---|---|---|---|
| 497360107 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Melissa L. Black?
The Melissa L. Black has been issued the NPI (National Provider Identifier) 1053424770 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Melissa L. Black is physically located?
The Melissa L. Black is situated at the following address: 118 West Pine Plaza, Farmington, MO 63640.
What is the area of specialization for Melissa L. Black, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Melissa L. Black is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did the Melissa L. Black receive its 1053424770?
The Melissa L. Black was issued its 1053424770 on 2006-08-16, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Melissa L. Black, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Melissa L. Black, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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