BENJAMIN ROBERT BLACK


Address: 564 6th St, San Francisco, CA 94103-4708
Phone: 6505034589

BENJAMIN ROBERT BLACK (NPI# 1710478060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710478060
Entity Type Individual
Full Name BENJAMIN ROBERT BLACK
Credential MSW
Practice Address 564 6th St
San Francisco
CA 94103-4708
Practice Telephone 6505034589
Mailing Telephone 6503724080
Enumeration Date 2018-05-22
Last Update Date 2020-05-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor ASW85095 CA Behavioral Health & Social Service Providers

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1427286897 Benjamin Thomas Black Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2009-06-24
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Office Location

Street Address 564 6TH ST
City SAN FRANCISCO
State CA
Zip Code 94103-4708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619171337 Michael A Huff Substance Abuse Rehabilitation Facility 564 6th St, San Francisco, CA 94103-4708 2007-06-14
1710507298 Rhiannon A Debaufer Counselor 564 6th St, San Francisco, CA 94103-4708 2020-04-24
1215584214 Dominique Anne Legnitto Packard Student in an Organized Health Care Education/Training Program 564 6th St, San Francisco, CA 94103-4708 2019-08-23
1336794122 Mayra Patricia Mondragon Student in an Organized Health Care Education/Training Program 564 6th St, San Francisco, CA 94103-4708 2019-08-08
1558923359 Carolina Martinez Counselor 564 6th St, San Francisco, CA 94103-4708 2019-07-01
1952811200 Robin Candler Counselor 564 6th St, San Francisco, CA 94103-4708 2017-10-01
1104253798 Mary Penn Social Worker 564 6th St, San Francisco, CA 94103-4708 2013-09-27
1063766905 Tara Siobhan Curran Student in an Organized Health Care Education/Training Program 564 6th St, San Francisco, CA 94103 2012-10-30
1588943492 Nicole Amanda Brooks Counselor 564 6th St, San Francisco, CA 94103-4708 2011-08-09
1861652828 Erin Alicia Glassman Social Worker 564 6th St, San Francisco, CA 94103-4708 2008-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669015665 Cheng Chi Chang Student in an Organized Health Care Education/Training Program 987 Mission Street, San Francisco, CA 94103 2019-10-22
1366925604 Sharon Farrell Specialist Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 2018-09-12
1548748759 Muvr Labs, Inc Clinic/Center 724 Bannan Street, San Francisco, CA 94103 2018-07-31
1245727585 Marco Alejandro Regalado Chacon Counselor 1035 Market St Ste 100, San Francisco, CA 94103 2018-04-20
1679091854 Maia Elizabeth Anello Counselor 42 Mclea Ct., San Francisco, CA 94103 2017-09-07
1710405584 Wendy Siuping Leung Specialist 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 2017-08-31
1740707397 Leslie My Ngoc Lam Specialist 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 2017-08-24
1598281990 Raymundo Macias Counselor 1563 Mission Street, San Francisco, CA 94103 2017-08-17
1720502461 Kathie Isabel Cordova Specialist 1380 Howard Streeet, San Francisco, CA 94103 2017-08-02
1154850428 Elizabeth Osterwald Counselor 150 9th Street, San Francisco, CA 94103 2017-06-08
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972104628 Ann Egan Counselor 207 Cole St, San Francisco, CA 94117-1915 2020-11-07
1326654518 Mina Dailami Counselor 45 Adair St Apt A, San Francisco, CA 94103-3699 2020-09-22
1538773841 Samantha Santamaria Counselor 1001 Potrero Ave Rm 7g12, San Francisco, CA 94110-3518 2020-09-03
1659980076 Claire Katherine Sheeran Counselor 1275 34th Ave, San Francisco, CA 94122-1306 2020-07-31
1104434331 Archana Chatkara Thomas Counselor 974 Pine St Apt 9, San Francisco, CA 94108-2928 2020-07-14
1790306157 Katherine Rose Kaffka Counselor 995 Potrero Ave # 220, San Francisco, CA 94110-2859 2020-04-27
1265073811 Matthew Charles Paden Counselor 1801 Vicente St San Francisco, San Francisco, CA 94116-2923 2019-10-04
1801442140 Danielle Sawicki Counselor 4355 Geary Blvd, San Francisco, CA 94118-3003 2019-08-13
1417501347 Kimberly Shadean Wedderburn Counselor 2200 Hayes St Fl 3, San Francisco, CA 94117-1013 2019-07-29
1740847250 Caroline Elson Counselor 1440 Steiner St Apt 3, San Francisco, CA 94115-4128 2019-05-21
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Competitor

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City SAN FRANCISCO
Zip Code 94103

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Dataset Information

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.

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