LEAH BLACK (NPI# 1003107731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003107731 |
| Entity Type | Individual |
| Full Name | LEAH BLACK |
| Other Name | LEAH HURST |
| Credential | LCSW |
| Practice Address |
310 E Broadway Ave Jackson WY 83001-8636 |
| Mailing Address |
Po Box 13572 Jackson WY 83002-3572 |
| Practice Telephone | 3076547003 |
| Practice Fax Number | 3072244973 |
| Mailing Telephone | 3076547003 |
| Mailing Fax Number | 3072244973 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2015-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-742 | WY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 117699400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336689207 | Leah Black | Social Worker | 11 Kings Crossing Ct, Saint Louis, MO 63129-5064 | 2017-02-27 |
| 1801330923 | Leah Black | Dietitian, Registered | 2952 Conifer Circle, Evergreen, CO 80439 | 2016-12-08 |
| 1881197978 | Leah Black | Case Manager/Care Coordinator | 225 Centennial Blvd, Lawrenceburg, TN 38464-3264 | 2018-03-14 |
| 1538555685 | Leah Black | Emergency Medicine | 100 High St, Buffalo, NY 14203-1126 | 2015-04-15 |
| 1225195670 | Leah I. Black | Advanced Practice Midwife | 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 | 2007-01-03 |
| 1518950369 | Leah Autry Black | Physician Assistant | 1327 Robeson St, Fayetteville, NC 28305-5531 | 2005-08-26 |
| Street Address |
310 E BROADWAY AVE |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245471846 | Holland Wilson | Marriage & Family Therapist | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2009-03-12 |
| 1154921922 | Chase Mcfadden | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2020-10-29 |
| 1457951469 | Ethan Bell | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2020-10-28 |
| 1861007320 | Wendy Tucker | Behavioral Analyst | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2020-09-11 |
| 1952919565 | Audrey Quest | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2020-07-20 |
| 1871121467 | Kindsey Smith | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2020-03-30 |
| 1457987174 | John Michael Wells | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2020-03-13 |
| 1740842624 | Lesley Beus Romero | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2019-07-01 |
| 1568928034 | Lauren Mayer | Behavioral Analyst | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2019-02-20 |
| 1619458056 | Marsha Elizabeth Hale | Behavior Technician | 310 E Broadway Ave, Jackson, WY 83001-8636 | 2018-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| 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 |
|---|---|---|---|---|
| 1013518430 | Millie Mitchell | Social Worker | 321 Woodland Dr, Jackson, AL 36545-2438 | 2020-11-03 |
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1760098487 | Dominique Yvette Thomatis-williams | Social Worker | 4 Creekwood Pl, Jackson, MS 39211-2929 | 2020-09-17 |
| 1417567215 | Angela Edward | Social Worker | 413 Seymour Ave, Jackson, MI 49202-3562 | 2020-08-06 |
| 1952926677 | Kayleen Marie Shaw | Social Worker | 4152 County Road 436, Jackson, MO 63755-8411 | 2020-06-09 |
| 1538798327 | Willie Patrice Jenkins | Social Worker | 108 Parks Rd, Jackson, MS 39212-9626 | 2020-04-03 |
| 1184251555 | Yasmeen Patricia Eichelberger | Social Worker | 510 George St, Ste 201, Jackson, MS 39202-3027 | 2020-03-25 |
| 1902431612 | Harriet Phyllis Kazansky | Social Worker | 4 Hazeltine Ln, Jackson, NJ 08527-4045 | 2020-03-03 |
| 1750915229 | Kacey Pepin | Social Worker | 3027 Wildwood Ave, Jackson, MI 49202-3938 | 2020-02-24 |
| 1831729433 | Rachel Kornilakis | Social Worker | 729 W Michigan Ave # 200, Jackson, MI 49201-1920 | 2020-01-22 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on LEAH 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.